Senior Workers' Comp Claims Specialist

ICW Group

Sacramento (CA)

On-site

USD 79,000 - 133,000

Full time

13 days ago
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Benefits offered by this job

Bonus potential
Paid time off
Paid holidays
401K retirement plans with company 100

Job summary

ICW Group is seeking a Claims Specialist in the United States to handle complex workers’ compensation claims and drive equitable resolutions. You will work with policyholders, attorneys, and colleagues to investigate exposures, set reserves, and guide settlements following company procedures.

Bachelor's degree and 8–10+ years of claims experience are required; WCCA/WCCP preferred. State licensure may be required in some branches. This is a full-time, on-site role in a dynamic environment.

Qualifications

  • Bachelor's degree or equivalent with 8–10+ years' complex claims handling experience.
  • Workers’ Compensation certification preferred; state license required in some branches.
  • Strong knowledge of laws and jurisdictional rules for claims management.

Responsibilities

  • Manage complex claims inventories requiring advanced technical expertise.
  • Communicate with policyholders, agents, attorneys, and witnesses to gather information and provide high-level service.
  • Investigate claims promptly to determine exposure and make strategic recommendations.
  • Utilize resolution tactics (mediation, negotiation, denial, litigation or offer) to drive outcomes.
  • Direct defense counsel in litigation following ICW Group guidelines and monitor costs.
  • Prepare and present claims status reports for internal and external stakeholders.
  • Administer benefits to injured workers within designated authority; manage and approves reserves.
  • Create and adjust reserves to align with company policies.
  • Provide technical guidance and mentor less experienced team members.
  • Stay current with case law and attend job-related training.

Skills

Legal knowledge
Communication
Time management
Attention to detail
Organizational skills
Tech literacy
Adaptability

Education

Bachelor's degree or equivalent
WCCA/WCCP preferred
State license required in some branches

Job description

ICW Group is seeking a Claims Specialist in the United States to handle complex workers’ compensation claims and drive equitable resolutions. You will work with policyholders, attorneys, and colleagues to investigate exposures, set reserves, and guide settlements following company procedures.

Bachelor's degree and 8–10+ years of claims experience are required; WCCA/WCCP preferred. State licensure may be required in some branches. This is a full-time, on-site role in a dynamic environment.

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