Qureos Mentor

ICW Group

<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

<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 role is to provide paralegal and legal operations support to the Corporate Legal Department. This position helps ensure that the Company remains compliant with applicable state laws and regulatory requirements, that legal matters are properly addressed, and that contracts, corporate records, litigation files, and other legal documents are accurately maintained, stored, and managed.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Corporate Governance, Regulatory Compliance, and Records Management
<ul><li>Performs corporate secretarial functions, including coordinating and preparing materials, records, signatures, and filings for Board meetings, corporate governance matters, and regulatory submissions.</li>
<li>Prepares and files jurisdictional qualifications to do business, Secretary of State filings, and related entity management and corporate governance documents for all companies.</li>
<li>Manages biographical affidavits, fingerprints and related regulatory documentation, as needed, for insurance companies.</li>
<li>Maintains entity record books, minute books, organizational documents, resolutions, and related corporate records.</li>
<li>Prepares, submits, and follows up on state filings.</li>
<li>Researches regulatory filing requirements and communicates, in writing and orally, with the applicable department of insurance regarding filing requirements and other regulatory matters.</li>
<li>Gathers electronic and physical signatures and provides notarization of documents, as needed.</li>
<li>Maintains corporate equity information in the applicable online system.</li>
<li>Identifies opportunities to improve governance processes, compliance tracking, recordkeeping, and overall legal and claims litigation operations.</li>
</ul>Contract Administration and Legal Records Management:
<ul><li>Maintains legal department files, corporate documents, certificates, and other governance and legal records.</li>
<li>Reviews, prepares and maintains Nondisclosure Agreements (NDA) with third parties.</li>
<li>Maintains all Certificates of Authority for all insurance companies in both physical and electronic repositories.</li>
<li>Maintains licensing records and renewals for certain corporate entities and/or designated employees.</li>
<li>Assist with cloud transition of Corporate Legal electronic file management system in creating standardized organization frameworks, procedures and instructions and continue to maintain and update files.</li>
<li>Maintains information in matter management, contract management, e-billing, and other legal department systems, and supports ongoing system enhancements and process improvements.</li>
<li>Assists with Legal Department compliance with record retention and destruction requirements.</li>
</ul>Litigation Support:
<ul><li>Maintains litigation files.</li>
<li>Provides administrative support for subpoenas, complaints, service of process, and other legal notices received.</li>
<li>Track legal department deadlines, calendaring, and document management.</li>
<li>Assists with processing department invoices, including through applicable e-billing and e-payment systems.</li>
</ul>SUPERVISORY RESPONSIBILITIES
This role does not have supervisory responsibilities.
EDUCATION AND EXPERIENCE
A bachelor&rsquo;s degree with an emphasis in business administration or liberal arts (or equivalent) is preferred. Minimum 2-5 years&rsquo; related experience required.
CERTIFICATES, LICENSES, REGISTRATIONS
Paralegal certificate from an accredited program preferred
Notary Public certification required but can be obtained after hire
KNOWLEDGE AND SKILLS
<ul><li>Proficient in use of Microsoft Office products, Docusign, Adobe and department matter management system</li>
<li>Excited by the idea of innovating and driving efficiency in the delivery of legal services using AI legal tools</li>
<li>Demonstrates interpersonal skills and ability to work effectively independently and with others</li>
<li>Ability to handle multiple tasks simultaneously and re-prioritize on short time frames with supervisor input</li>
<li>Ability to follow verbal and written instructions with precision and accuracy</li>
<li>Effective communicator with strong writing and drafting skills</li>
<li>Excellent analytical capabilities, organizational skills, and strong attention to detail and proofreading skills</li>
<li>Ability to communicate clearly and operate with absolute discretion in a leadership-facing environment</li>
<li>Experience supporting regulated insurance or other financial services entities strongly preferred</li>
</ul>PHYSICAL REQUIREMENTS
No specific or unusual physical or environmental demands. The Team Member is regularly required to sit, walk, stand, talk, hear, use hands and fingers to perform repetitive hand and wrist movements to operate a computer, telephone, copier, and other standard office equipment, and occasionally lift and/or move items up to 15 pounds. The ability to remain stationary for extended periods, and the ability to move about an office environment and access files, documents, and workstations are required. Requires close visual acuity for computer work, reviewing documents, and performing detailed administrative tasks. Reasonable accommodation may be provided to enable qualified individuals with disabilities to perform the essential functions of the position.
WORK ENVIRONMENT
This position works from a standard climate-controlled office environment. The noise level is moderate with background white noise. Regular in-office attendance is required.
We are currently not offering employment sponsorship for this opportunity
#LI-JM1
#LI-Hybrid
The current range for this position is
$29.80 - $46.99
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: Administrative
Job Type: Full time
Req ID: JR101356</div>

Paralegal

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

Paralegal