Qureos Mentor

ICW Group

ICW Group Insurance Companies is a leading national provider of multi-line Property & Casualty insurance, dedicated to delivering comprehensive coverage to protect customers' interests. The company represents a variety of carriers, including Insurance Company of the West, Explorer Insurance Company, and VerTerra Insurance. ICW Group focuses on creating an exceptional insurance experience for its policyholders and a robust network of independent agents and brokers.

<div>Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver 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 ten consecutive years as a Top 50 performing P&amp;C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here!
PURPOSE OF THE JOB
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.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Manages all aspects of as assigned claims inventory.
<ul><li>Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.</li>
<li>Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.</li>
<li>Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.</li>
<li>Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.</li>
<li>Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.</li>
</ul>All Claims Examiners:
<ul><li>Consistently provides exceptional customer service.</li>
<li>Effectively collaborates with team members from various departments for project and process discussions.</li>
<li>Acts as a Subject Matter Expert for the department.</li>
<li>Makes recommendations for streamlining processes and adopting the industry&rsquo;s best practices.</li>
<li>Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.</li>
<li>Provides knowledge transfer across the organization.</li>
<li>Continuously seeks to improve technical skills by attending job related training and tracking current case law.</li>
<li>Acts as a mentor and provides training for less experienced team members.</li>
</ul>Workers&rsquo; Compensation Claims (Specific Responsibilities):
<ul><li>Prepares and presents claims status reports for internal and external stakeholders.</li>
<li>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&rsquo;s internal claims handling policies and procedures.</li>
<li>Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies.</li>
<li>Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law.</li>
</ul>SUPERVISORY RESPONSIBILITIES
This position has no supervisory responsibility but will serve as a technical leader.
EDUCATION AND EXPERIENCE
Bachelor's degree (or equivalent education and experience) preferred.
Minimum 5+ years of related claims experience.
CERTIFICATES, LICENSES, REGISTRATIONS
Workers&rsquo; Compensation: Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. State Workers Compensation License is required in some branches.
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.
PHYSICAL REQUIREMENTS
Office environment &ndash; no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.
WORK ENVIRONMENT
This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.
We are currently not offering employment sponsorship for this opportunity
#LI-ET1 #LI-Hybrid
The current range for this position is
$68,481.25 - $115,489.01
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 the location of the role and considers employees performing substantially similar work.
WHY JOIN ICW GROUP?
<ul><li>Challenging work and the ability to make a difference</li>
<li>You will have a voice and feel a sense of belonging</li>
<li>We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match</li>
<li>Bonus potential for all positions</li>
<li>Paid Time Off</li>
<li>Paid holidays throughout the calendar year</li>
<li>Want to continue learning? We&rsquo;ll support you 100%</li>
</ul>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.
At ICW Group we offer a work environment that encourages entrepreneurialism and celebrates success. Our team members are hands-on contributors who are given the opportunity to make an impact. It's our people who make us an employer of choice and the vibrant company we are today.
Job Category: Claims
Job Type: Full time
Req ID: JR101293</div>

Senior Claims Examiner - Workers' Compensation (California)

<div>
 Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver 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 ten consecutive years as a Top 50 performing P&amp;C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here!
 
 
 
 PURPOSE OF THE JOB
 
 
 
 The purpose of this job is to provide administrative support and overall assistance to Claims Examiners. This position exists to ensure the timely payment of benefits and administration of claims in compliance with state law.
 
 
 
 Essential Duties And Responsibilities
 
 
 
 Delivers basic to intermediate administrative support to Claims Examiners.
 
 
 <ul>
 <li>
 Contacts insured or other involved persons to obtain necessary information to process claim.
 </li>
 <li>
 Documents conversations or information on appropriate enterprise resource planning (ERP) system.
 </li>
 <li>
 Organizes and works with Examiner using computer to enter, access, search and retrieve data.
 </li>
 <li>
 Stays current with diary tasks and procedural changes.
 
 
 </li>
 </ul>
 Imparts exceptional customer service to internal and external customers, including insureds.
 
 
 <ul>
 <li>
 Provides information to insureds, injured workers or provides referrals to outside vendors as requested by the Examiner.
 </li>
 <li>
 Processes claims for indemnity payments and state mandated forms.
 </li>
 <li>
 Processes non-medical payments.
 </li>
 <li>
 Organizes and works with Examiner using computer to enter, access, search, and retrieve data.
 
 
 </li>
 </ul>
 Assists Claims Examiner with complete post-claims resolution and related administrative projects.
 
 
 <ul>
 <li>
 Schedules appropriate medical appointments, calculates mileage and sends appointment letter reminders.
 </li>
 <li>
 Interacts with nurse on case management regarding return to work status.
 </li>
 <li>
 Supports Claims Examiners in the preparation, processing and monitoring of payments.
 
 
 </li>
 </ul>
 
 Supervisory Responsibilities
 
 
 
 This role does not have supervisory responsibilities.
 
 
 
 Education And Experience
 
 
 
 High school diploma or general education degree (GED) required. Minimum 1 year of related experience and/or training; or equivalent combination of education and experience.
 
 
 
 CERTIFICATES, LICENSES, REGISTRATIONS
 
 
 
 None required.
 
 
 
 Knowledge And Skills
 
 
 
 Basic understanding of office procedures. Solid customer service, phone and time management skills. Intermediate Microsoft Office Suite: Outlook, Word, Excel, PowerPoint as well as the ability to learn enterprise resources planning (ERP) software. Excellent data entry, strong attention to detail and ability to prioritize assignments. Ability to read, write and comprehend simple instructions, short correspondence and memos. Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs. Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
 
 
 
 Physical Requirements
 
 
 
 Office environment &ndash; no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.
 
 
 
 WORK ENVIRONMENT
 
 
 
 This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.
 
 
 
 We are currently not offering employment sponsorship for this opportunity
 
 
 
 The current range for this position is
 
 
 $19.58 - $30.88
 
 
 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 the location of the role and considers employees performing substantially similar work.
 
 
 
 WHY JOIN ICW GROUP?
 
 
 
 <ul>
 <li>
 Challenging work and the ability to make a difference
 </li>
 <li>
 You will have a voice and feel a sense of belonging
 </li>
 <li>
 We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
 </li>
 <li>
 Bonus potential for all positions
 </li>
 <li>
 Paid Time Off
 </li>
 <li>
 Paid holidays throughout the calendar year
 </li>
 <li>
 Want to continue learning? We&rsquo;ll support you 100%
 
 
 </li>
 </ul>
 
 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.
 
 
 
 
 At ICW Group we offer a work environment that encourages entrepreneurialism and celebrates success. Our team members are hands-on contributors who are given the opportunity to make an impact. It's our people who make us an employer of choice and the vibrant company we are today.
 
 
 
 
 Job Category:
 
 
 Claims
 
 
 
 
 Job Type:
 
 
 Full time
 
 
 
 
 Req ID:
 
 
 JR101399
 
 
 
</div>

Claims Assistant

Join ICW Group and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

ICW Group

About Company

Senior Claims Examiner - Workers' Compensation (California)

Claims Assistant