Current jobs related to Senior Workers' Compensation Claims Examiner - San Diego - ICW Group Insurance Companies
-
Workers Compensation Claims Examiner
7 days ago
San Diego, California, United States Mary Kraft HR Full timeJob Title: Workers Compensation Claims ExaminerJob Summary:Mary Kraft HR is seeking an experienced Workers Compensation Claims Examiner to analyze complex or technically difficult workers' compensation claims. The role involves managing high-exposure claims, including those with litigation and rehabilitation, ensuring adherence to industry best practices,...
-
Workers Compensation Claims Examiner
1 week ago
San Diego, California, United States Mary Kraft HR Full timeJob DescriptionMary Kraft HR is seeking an experienced Workers Compensation Claims Examiner to analyze complex claims and ensure adherence to industry best practices. The role involves managing high-exposure claims, including those with litigation and rehabilitation, and identifying subrogation opportunities.Key ResponsibilitiesAnalyze and process complex...
-
Workers Compensation Claims Examiner
3 weeks ago
San Diego, California, United States Sedgwick Full timeAbout the RoleWe are seeking a highly skilled Workers Compensation Claims Examiner to join our team at Sedgwick. As a key member of our claims team, you will be responsible for analyzing complex workers' compensation claims, determining benefits due, and ensuring timely and cost-effective claims resolution.Key ResponsibilitiesAnalyze and process complex...
-
Claims Examiner
3 weeks ago
San Diego, United States Synectics Inc Full timeJob DescriptionJob DescriptionDescription:To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitationTo ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and...
-
Claims Examiner
3 weeks ago
San Diego, United States Nesco Resource Full timeShift timing: 37.5 hours/weekFlexible on start/end times (can do as early as 7am). PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best...
-
Workers' Compensation Claims Examiner
3 days ago
San Antonio, Texas, United States Argo Group Full timeClaims Adjudicator for Argo GroupWe're seeking a highly skilled Workers' Compensation Claims Adjudicator to join our team at Argo Group. As a Claims Adjudicator, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...
-
Senior Workers Compensation Claims Adjuster
2 weeks ago
San Diego, California, United States Vitus Search Group Full timeJob OverviewWe are seeking a seasoned Sr. Workers Compensation Claims Adjuster to join our team at Vitus Search Group. As a key member of our claims team, you will play a crucial role in evaluating and resolving workers' compensation claims in a fair and timely manner.Key Responsibilities:Investigate and evaluate workers' compensation claims to determine...
-
Senior Workers Compensation Claims Adjuster
2 weeks ago
San Diego, California, United States Vitus Search Group Full timeJob Title: Sr. Workers Comp Claims AdjustorJob SummaryWe are seeking a highly experienced and licensed Sr. Workers Compensation Claims Adjustor to join our team at Vitus Search Group. As a key member of our claims team, you will be responsible for investigating and evaluating workers' compensation claims, ensuring compliance with laws and regulations, and...
-
Senior Workers Compensation Claims Adjuster
2 weeks ago
San Diego, California, United States Vitus Search Group Full timeJob SummaryWe are seeking a seasoned Sr. Workers Compensation Claims Adjuster to join our team at Vitus Search Group.This is a remote position that offers a permanent role with full-time hours, comprehensive benefits, and a competitive salary of up to $95,000 based on experience.The ideal candidate will have a strong background in Workers Compensation...
-
Workers Compensation Claims Adjuster
8 hours ago
San Diego, California, United States Sedgwick Full timeClaims Adjuster - Workers CompensationSedgwick is seeking a skilled Claims Adjuster - Workers Compensation to join our team. As a Claims Adjuster - Workers Compensation, you will be responsible for analyzing mid- and higher-level workers compensation claims to determine benefits due. You will ensure ongoing adjudication of claims within company standards and...
-
San Antonio, Texas, United States The Hartford Full timeJob SummaryWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure timely and fair resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...
-
Workers' Compensation Claims Adjusters
2 months ago
San Bernardino, United States Amtec Inc. Full timeWe are looking for Workers' Compensation Claims Adjusters who are in charge of processing a wide variety of worker's compensation claims including those that are complex or sensitive. Job Title: Workers' Compensation Claims AdjustersPay Rate: $30.00 - 32.00/hourShift: 9/80 schedule (hybrid work schedule after the first 2 weeks)Location: San Bernardino,...
-
Senior Claims Examiner
7 days ago
San Antonio, Texas, United States Optum Full timeOptum Job DescriptionAt Optum, we deliver care and technology to help millions of people live healthier lives. We're seeking a Senior Claims Examiner to join our team in reviewing, analyzing, and researching complex health care claims. As a Senior Claims Examiner, you will be responsible for identifying discrepancies, verifying pricing, confirming prior...
-
San Antonio, Texas, United States The Hartford Full timeAbout the RoleWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims team, you will be responsible for investigating and managing Workers' Compensation claims to ensure timely and fair resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...
-
Workers Compensation Claims Adjuster
4 days ago
San Diego, California, United States Sedgwick Full timeJob SummarySedgwick is seeking a highly skilled Workers Compensation Claims Adjuster to join our team. As a Claims Professional, you will be responsible for analyzing and resolving workers compensation claims in a timely and efficient manner.Key ResponsibilitiesAnalyze and determine compensability and benefits due on long-term indemnity claimsDevelop and...
-
Workers' Compensation Claims Adjuster
4 weeks ago
San Bernardino, California, United States Amtec Inc. Full timeJob Title: Workers' Compensation Claims AdjusterWe are seeking a skilled Workers' Compensation Claims Adjuster to join our team at Amtec Inc. The ideal candidate will have a strong background in adjusting workers' compensation claims, including complex litigated claims.Key Responsibilities:Review and investigate workers' compensation claims to determine...
-
Claims Examiner
4 days ago
San Diego, California, United States TPS Group LLC Full timeClaims Analyst OpportunityTPS Group LLC is seeking a skilled Claims Analyst to support their public utilities and energy client. The ideal candidate will have experience in claims investigation, liability analysis, and case management.Key Responsibilities:Investigate and analyze recovery/subrogation and/or liability and property damage claims.Adjust and...
-
Workers' Compensation Claims Investigator
4 days ago
San Antonio, Texas, United States The Hartford Full timeJob SummaryWe are seeking a skilled Workers' Compensation Claims Representative to join our team at The Hartford. As a Claims Representative, you will be responsible for investigating and resolving workers' compensation claims in a timely and accurate manner.Key ResponsibilitiesInvestigate and analyze workers' compensation claims to determine liability and...
-
Workers Compensation Claims Adjuster
1 month ago
San Bernardino, California, United States Global Information Technology Inc. Full timeJob SummaryWe are seeking a skilled Workers Compensation Claims Adjuster to join our team at Global Information Technology Inc.The ideal candidate will have a strong background in adjusting workers' compensation claims, with a minimum of four to five years of experience in the field.The successful candidate will be responsible for reviewing claims, reports,...
-
Insurance Claims Examiner
4 days ago
San Diego, California, United States Progressive Insurance Full timeJob SummaryWe are seeking a skilled Insurance Claims Examiner to join our team at Progressive Insurance. As a Claims Adjuster, you will be responsible for managing claims, including the injury portion, and ensuring a swift resolution.Key ResponsibilitiesMaking coverage decisions that determine the extent of Progressive's liabilityGathering details through...
Senior Workers' Compensation Claims Examiner
3 months ago
Job Category : Work Comp Claims Requisition Number : CLAIM007236 Apply now Posted : July 3, 2024 Full-Time Salary Range : $65,220.24 USD to $109,989.53 USD Locations Showing 1 location Carmel Point 15030 Avenue of Science, Suite 100 San Diego, CA 92128, USA Carmel Point 15030 Avenue of Science, Suite 100 San Diego, CA 92128, USA 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 is 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 Senior Claims Examiner handles moderate to complex claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. Candidates will be required to work a hybrid schedule if they live near one of following ICW Group's branch offices: California - San Diego, Woodland Hills, Pleasanton, or Rancho Cordova Lisle, IL Wayne, PA Lake Mary, FL Las Vegas, NV WHAT YOU WILL DO Manages all aspects of a complex claims inventory. 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. Additional Responsibilities: Consistently provides exceptional customer service. 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. Provides knowledge transfer across the organization. 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. WHAT YOU BRING TO THE ROLE Bachelor's degree from an accredited institution (or equivalent education and experience) along with 5+ years of related claims experience. CERTIFICATES, LICENSES, REGISTRATIONS Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. KNOWLEDGE AND SKILLS Good understanding of laws and jurisdictional restraints to manage claims. Excellent verbal 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 write reports, business correspondence, and procedure manuals. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information at meetings, to management and clients. Must be adept at learning new technology and embrace change. COMPENSATION The current salary range for this position is $65,220.24 to $109,989.53 . 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? 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% ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. #J-18808-Ljbffr
