- Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.
- Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.
- Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.
- Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.
- Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.
- Effectively collaborates with team members from various departments for project and process discussions.
- Acts as a Subject Matter Expert for the department.
- Makes recommendations for streamlining processes and adopting the industry's best practices.
- Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.
- Continuously seeks to improve technical skills by attending job related training and tracking current case law.
- Acts as a mentor and provides training for less experienced team members.
- Prepares and presents claims status reports for internal and external stakeholders.
- Administers timely and appropriate benefits to injured workers; manages and approves payment of benefits within designated authority level.Works within applicable state rules, regulations as well as ICW Group's internal claims handling policies and procedures.
- Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies.
- Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law.
- Bachelor's degree from an accredited institution (or equivalent education and experience) along with 8-10 years of related claims experience.
- New York 17-72 Motor Vehicle No-Fault & Work. Comp. Adjuster License preferred.
- WCCA and WCCP preferred.
- Thorough understanding of laws and jurisdictional restraints to manage injuries.
- Excellent verbal and written communication skills, time management, attention to detail and organizational skills required.
- Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
- Ability to effectively present information to management, public groups, and/or boards of directors.
- Facilitates and leads meetings across a team of claims professionals for assigned projects.
- Challenging work and the ability to make a difference
- You will have a voice and feel a sense of belonging
- We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
- 10 paid holidays throughout the calendar year
- Want to continue learning? We'll support you 100%
-
Specialist, Appeals Claims
2 weeks ago
Lincoln Financial Group Wayne, United StatesAlternate Locations: US All Regions; US Midwest; US Northeast; US Southeast; US Southwest; US West; Work from Home · Work Arrangement · Remote : Work at home employee residing outside of a commutable distance to an office location. · Relocation assistance: is not available for ...
-
claims specialist
2 days ago
Randstad Malvern, United Statesclaims specialist. · malvern , pennsylvania · posted 1 day ago · job details · summary · $ $20 per hour · temp to perm · associate degree · category office and administrative support occupations · referenceAB_ · job details · Are you passionate about facilitating seaml ...
-
Specialist, Appeals Claims
3 weeks ago
Lincoln National Corporation Broomall, United StatesWe are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. Appeal Specialists conduct reviews, investigation, and analysis of an assigned caseload of Short-Term Disability appeals. The role is Claims, Appeals, Specialist, ...
-
Claims Specialist
1 week ago
Randstad Malvern, United StatesJob Description · Job DescriptionAre you passionate about facilitating seamless transitions and ensuring customer satisfaction? Join our team and become an integral part of our operations. You will be able to provide clients with a seamless transition process when their life even ...
-
Claims Specialist
1 week ago
Randstad Malvern, United StatesJob Description · Job DescriptionAre you passionate about facilitating seamless transitions and ensuring customer satisfaction? Join our team as a Change of Ownership Associate and become an integral part of our operations. You will be able to provide clients with a seamless tran ...
-
Senior Claims Specialist
2 weeks ago
CorVel Enterprise Comp, Inc. Norristown, United StatesJob Description · Job DescriptionThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers an ...
-
claims specialist
1 week ago
Randstad Malvern, United StatesRandstad - JobID: claims-specialist_malvern [Office Clerk / Admin Assistant] Randstad is currently working with a reputable company to fill several Claims Specialist positions. These are immediate openings and include permanent and temporary positions for full-time and part-time ...
-
Claims Specialist
1 week ago
Contemporary Staffing Solutions Moorestown, United StatesJob Description · Job DescriptionContemporary Staffing Solutions is seeking a detail-oriented and organized Data Verification Specialist to join our client in Moorestown, NJ As a Data Verification Specialist, you will be responsible for ensuring the accuracy and completeness of a ...
-
Specialist, Appeals Claims
2 weeks ago
Lincoln Financial Services Broomall, United StatesAlternate Locations: US All Regions; US Midwest; US Northeast; US Southeast; US Southwest; US West; Work from Home · Work Arrangement: · Remote : Work at home employee residing outside of a commutable distance to an office location. · Relocation assistance: is not available f ...
-
Claims specialist
1 week ago
Randstad Malvern, United StatesAre you passionate about facilitating seamless transitions and ensuring customer satisfaction? Join our team as a Change of Ownership Associate and become an integral part of our operations. You will be able to provide clients with a seamless transition process when their life ev ...
-
Claims Specialist
3 hours ago
Independence Blue Cross Philadelphia, United StatesResponsible for accurate and timely handling of claim issues for all lines of business, including bi-directional sharing, FEP, Local and Commercial PA and AHNJ, BlueCard and Government market. Applies and maintains knowledge of claims processing and support systems. · Research i ...
-
Content Claims Specialist
2 weeks ago
Crawford & Company Philadelphia, United States Regular Full timePosition Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster's content claims handling operations: · Acting/operating as a third party, intermediary between the Insurance Company's property ...
-
Claims Administrative Support Specialist
1 week ago
Progressive Insurance Plymouth Meeting, United StatesAs a claims administrative support specialist, you'll play a vital role supporting our claims branch offices. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable. ...
-
Senior Claims Specialist
13 hours ago
AXA Group Exton, United StatesSenior Claims Specialist - Construction Professional Liability · New York, New York / USA · Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing bette ...
-
Senior Claims Specialist
13 hours ago
AXA XL Ltd Exton, United StatesSenior Claims Specialist - Construction Professional Liability · New York, New York / USA · Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing bette ...
-
Content Claims Specialist
2 weeks ago
Crawford & Company Philadelphia, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · + Acting/operating as a third party, intermediary b ...
-
Content Claims Specialist
3 weeks ago
Crawford & Company Philadelphia, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · + Acting/operating as a third party, intermediary b ...
-
Content Claims Specialist
3 weeks ago
Crawford & Company Philadelphia, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · + Acting/operating as a third party, intermediary b ...
-
Claim Specialist-Multinational
3 hours ago
Chubb Wilmington, United StatesJob Description · This role is focused on technical claim handling of U.S. and international casualty claims. In this role you will learn to manage general liability, employer's liability and auto claims. The individual will be accountable for the handling and disposition of cla ...
-
Claim Specialist-Multinational
1 week ago
Chubb Wilmington, United StatesJob Description · This role is focused on technical claim handling of U.S. and international casualty claims. In this role you will learn to manage general liability, employer's liability and auto claims. The individual will be accountable for the handling and disposition of cla ...
Claims Specialist - Wayne, United States - ICW Group
Description
Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission to create the best insurance experience possible.
Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for seven consecutive years as a Top 50 performing P&C company offering the stability of a large, profitable and growing company combined with a small-company entrepreneurial spirit. Our purpose-driven ethos provides team members with opportunities to contribute, develop, and belong.
The Claims Specialist - Workers' Compensation will be responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to drive claims to an equitable resolution within Company standards.The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes.
Ideal candidate will work a hybrid schedule out of our Wayne, PA branch office.
WHAT YOU WILL DO
Manages all aspects of a complex claims inventory.
The current salary range for this position is $74,932.01 to $126, This range is exclusive of fringe benefits and potential bonuses.If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate; including experience, education, and location of the role and considers employees performing substantially similar work.
WHY JOIN ICW GROUP?
#LI-ET1 #LI-Hybrid
