Claims Specialist (Contribution)

About the role

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! The Claims Specialist position is responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to drive claims to an equitable resolution within Company standards. The Claims Specialist 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 complex claims inventories requiring advanced technical expertise and strategic claim handling Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service. Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations. Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results. Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures. Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs. All Claims Specialists: Consistently provides exceptional customer service Effectively collaborates with cross-functional Team Members for project and process discussions Makes recommendations for streamlining processes and adopting the industry's best practices Ensures accuracy of data in claims system for compliance with applicable regulatory reporting Provides knowledge transfer across the organization Continuously seeks to improve technical skills by attending job related training and tracking current case law. As a SME (subject matter expert), serves as a technical resource and mentors/trains less experienced Team Members Subrogation/Contribution Claims (Specific Responsibilities): Investigates complex claims and gathers key information to assess potential subrogation/contribution actions. Communicates with insureds to obtain information necessary for evaluating subrogation/contribution. Pursues subrogation, recoveries and contributions within statutory timeframes. Directs and manages legal counsel to ensure timely and cost-effective litigation. Attends arbitrations and/or mediations virtually. Analyzes police reports, investigative reports, policies, construction contracts, and OSHA reports. Maintains case lists and follows up with claims personnel and outside attorneys. Summarizes and analyzes depositions and medical reports/records. Prepares department metric reports. Resolves claims fairly and equitably, acting in the best interest of the insured. Reports all recoveries to ensure they are credited to the claim file. Coordinates the handling of contribution and subrogation recovery with the underlying case. Maintains contribution/subrogation logs and records for referrals and recoveries. Keeps an active diary and notepad documentation for all contribution/subrogation files. Maintains diaries of important deadlines on cases. SUPERVISORY RESPONSIBILITIES This position has no supervisory responsibility EDUCATION AND EXPERIENCE Bachelor's degree (or equivalent combination of education and experience) required along with a minimum of 8 - 10+ years' related claims handling experience involving complex litigation, reserving, settlement strategy, and high exposure claims. CERTIFICATES, LICENSES, REGISTRATIONS 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. Paralegal certificate from an accredited program preferred. KNOWLEDGE AND SKILLS Excellent understanding of laws and jurisdictional restraints to manage claims Excellent verbal communication skills, time management, attention to detail and organizational skills Must

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