Senior Workers' Comp Claims Specialist | Complex Case Expert

ICW INSURANCE COMPANY OF THE WEST; Carmel Point (CA); Hybrid; USD 79,000 - 133,000; Full time

Benefits offered by this job

Hybrid work environment

Competitive benefits

401(k) retirement plan with company -

Job summary

ICW Group is seeking a Claims Specialist to handle complex workers’ compensation claims with a focus on equitable resolutions. You will assess exposure, coordinate with counsel, and guide stakeholders toward timely, fair outcomes.

The role emphasizes strong communication, regulatory compliance, and mentoring teammates as a subject matter expert. A bachelor's degree and 8–10+ years of experience are required.

Qualifications

• Bachelor's degree in a related field and 8-10+ years of complex claims handling.
• Strong understanding of workers' compensation laws and state rules.
• Ability to negotiate and resolve complex claims with stakeholders.

Responsibilities

• Manage complex claims inventories with strategic handling.
• Communicate with policyholders, agents, attorneys, and witnesses to gather information.
• Investigate claims promptly to determine exposure.
• Direct defense counsel through litigation in line with policies.
• Prepare claims status reports for internal and external stakeholders.

Skills

Legal/claims knowledge

Communication skills

Attention to detail

Adaptability

Learning new tech

Education

Bachelor's degree or equivalent

8-10+ years claims handling experience

Tools

Claims system

Job description

ICW Group is seeking a Claims Specialist to handle complex workers’ compensation claims with a focus on equitable resolutions. You will assess exposure, coordinate with counsel, and guide stakeholders toward timely, fair outcomes.

The role emphasizes strong communication, regulatory compliance, and mentoring teammates as a subject matter expert. A bachelor's degree and 8–10+ years of experience are required.