Claims Associate
ICW Group
full-time
Posted on:
Location Type: Hybrid
Location: San Diego • California • Illinois • United States
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Salary
💰 $23 - $36 per hour
About the role
- Reviews and analyzes incoming workers' compensation claims to determine the severity of the claims, benefits owed, ensures medical treatment is communicated to the injured worker, and reviews the claims file for completeness and accuracy of details
- Communicates with injured workers, employers, medical providers, and internal teams to gather initial information
- Documents claim details and triage decisions in the claims management system
- Identifies potential fraud indicators and escalates as needed
- Maintains compliance with company policies and state regulatory requirements
- Supports continuous improvement initiatives within the triage process
Requirements
- High school diploma or equivalent required
- Associate or Bachelor’s degree preferred
- Minimum 1+ year of related office or customer service experience
- Prior Workers’ Compensation industry experience highly preferred
- Basic understanding of workers compensation terminology and claims processes (preferred)
- Strong organizational and communication skills
- Adept at computer use including proficiency with on-line databases and/or claims management software and Microsoft Office Suite
- Ability to work in a fast-paced, detail-oriented environment
- Strong analytical skills and demonstrated attention to detail
- Must have good time management skills and follow through on deliverables
- Collaborative with a team orientation and works with a sense of urgency for execution of deliverables
Benefits
- Competitive benefits package, with generous medical, dental, and vision plans
- 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off
- Paid holidays throughout the calendar year
- Support for continuous learning
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementworkers' compensation terminologyclaims processesanalytical skillsattention to detailtime management
Soft Skills
organizational skillscommunication skillscollaborationsense of urgency