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ICW Group
ICW Group
1.001 – 5.000 Angajați
Sponsor pentru viza H1BAsigurăriB2BImpact social
ICW Group este o companie de asigurări care deservește întreprinderile și angajații acestora prin asigurarea de accidente de muncă, acoperire pentru catastrofe și reasigurare acceptată. Activitatea sa include raportarea daunelor, gestionarea riscurilor, siguranța la locul de muncă și resurse practice care îi ajută pe agenți și pe titularii polițelor să gestioneze acoperirea și daunele. Compania sprijină, de asemenea, inițiative filantropice axate pe comunitate și menite să îmbunătățească viața copiilor, alături de preocuparea sa mai largă pentru serviciile oferite clienților și pentru locuri de muncă mai sigure.
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Locurile de muncă ale companiei

Senior Workers' Compensation Claims Specialist - San Diego Onsite

Handle complex workers’ compensation claims, including litigation, reserves, settlements, medical exposure, and injured-worker benefits. Provide strategic claim guidance while supporting fair, timely resolutions for ICW Group.

USStatele Unite ale AmericiiCACalifornia
78.678 $ – 132.686 $ / an
La sediuNormă întreagăSeniorLiderLimbă Obligatorie: englezăSpecialist în daune

Descriere

  • Manage complex claim inventories using advanced technical judgment and strategic handling approaches
  • Communicate with policyholders, agents, attorneys, and witnesses while gathering facts and delivering responsive service
  • Investigate claims, assess exposure, consult experts, and recommend appropriate strategies
  • Pursue resolution through mediation, negotiation, denials, litigation, or settlement offers
  • Comply with applicable state and governing-entity requirements and internal claims procedures
  • Direct defense counsel during litigation and track related legal fees and expenses
  • Partner with cross-functional teams on projects and claims-process discussions
  • Identify process enhancements and recommend relevant industry practices
  • Maintain accurate claims-system information for regulatory reporting
  • Share expertise and mentor or train less experienced colleagues
  • Develop and present claim-status reports to internal and external stakeholders
  • Administer, manage, and approve injured-worker benefit payments within assigned authority
  • Establish and revise claim reserves according to company policies
  • Resolve claims fairly and equitably while delivering legally required benefits on time
  • Support specialty programs and strategic initiatives involving complex litigation, medical exposure, catastrophic injuries, fatalities, permanent total disability, and long-duration claims
  • Advise leadership on technical strategies for resolving complex claims
  • Advance complex and long-duration claim resolution through settlement, reserving, and medical-management strategies

Cerințe

  • Bachelor’s degree or an equivalent combination of education and experience
  • At least 8–10 years of related claims-handling experience, including complex litigation, reserving, settlement strategy, and high-exposure claims
  • Workers’ compensation certification that meets required training, experience, and skill standards
  • WCCA and WCCP credentials preferred
  • State workers’ compensation license required in certain branches
  • Strong knowledge of applicable laws and jurisdictional limitations for claims management
  • Excellent verbal communication, time-management, organizational, and attention-to-detail skills
  • Capacity to learn and use new technology
  • Adaptability in a fast-paced, changing environment
  • Ability to interpret technical and legal materials
  • Ability to prepare reports and business correspondence
  • Ability to address inquiries or complaints from customers, claimants, and regulatory agencies
  • Ability to present information to management and clients in meetings
  • Practical problem-solving skills and comfort handling varied situations with limited standardization
  • Advanced expertise in workers’ compensation claims handling, reserving, litigation management, and resolution strategy
  • Employment sponsorship is not available for this opportunity

Beneficii

  • Competitive benefits package
  • Medical, dental, and vision coverage
  • 401(k) retirement plan with company match
  • Potential bonus eligibility across positions
  • Paid time off
  • Paid holidays throughout the year
  • Full support for continuing education
  • Meaningful, challenging work with opportunities to make a difference
  • A workplace that values employee voice and belonging

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