Claims Assistant

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&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 while providing mentorship and training to junior Claim Assistants. This role exists to ensure the timely payment of benefits and administration of claims in compliance with state law.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Delivers intermediate to advanced administrative support to Claims Examiners.

• Contacts insured or other involved persons to obtain necessary information to process claims.
• Documents conversations or information to claim file note pad.
• Stays current with diary tasks.
• Provides training and mentoring less-experience Claims Assistants

Imparts exceptional customer service to internal and external customers, including insureds.

• Provides customer service such as giving information to insureds, injured workers or providing referrals to outside vendors as requested by Examiner.
• Processes non-medical payments.
• Organizes and works with Examiner using computer to enter, access, search and retrieve data. 

Assists Claims Examiner with complete post-claims resolution and related administrative projects.

• Prepares, schedules and processes benefit and medical payments on claims as directed.
• Communicates pertinent claim information to the client, legal counsel, medical and rehab providers as well as internal claims staff.
• Ensures documentation required to process claim accurate and complete for auditing purposes.  

SUPERVISORY RESPONSIBILITIES

This role does not have supervisory responsibilities.

EDUCATION AND EXPERIENCE

High school diploma or general education degree (GED) required.  Minimum 2-3 years of experience as a Claims Assistant or related experience required.

CERTIFICATES, LICENSES, REGISTRATIONS

None required.

KNOWLEDGE AND SKILLS

Strong understanding of claims principles and practices. Excellent phone skills. Strong computer typing skills and data entry experience. Attention to detail. Ability to read, write and comprehend simple instructions, short correspondence, and memos. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. 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. Ability to deal with problems involving several concrete variables in standardized situations.

PHYSICAL REQUIREMENTS 

Office environment – 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

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? 

• 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

• 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.

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