Claims Examiner – Workers' Compensation

ICW Group

Claims Examiner at ICW Group managing complex claims while providing exceptional service. Focused on resolution strategies, collaboration, and regulatory compliance in the insurance sector.

Posted 4/22/2026full-timeSacramento • California • 🇺🇸 United StatesJunior💰 $61,979 - $97,736 per yearWebsite

About the role

Key responsibilities & impact

Manages all aspects of a complex claims inventory.
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.
Works with defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.
Consistently provides exceptional customer service.
Effectively collaborates with team members from various departments for project and process discussions.
Acts as a Subject Matter Expert for the department.
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.
Acts as a mentor and provides training for less experienced team members.

Requirements

What you’ll need

Bachelor's degree (or equivalent education and experience) preferred
Minimum 1+ years of related claims experience or completion of the company’s Claims Academy
Workers’ Compensation: 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
Basic understanding of laws and jurisdictional restraints to manage claims.

Benefits

Comp & perks

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 continued learning

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims managementinvestigationnegotiationlitigationdata accuracyprocess improvementknowledge transfercustomer serviceproject collaborationregulatory compliance

Soft Skills

communicationstrategic thinkingmentoringteam collaborationcustomer focusproblem-solvingleadershipadaptabilityinterpersonal skillstraining

Certifications

Bachelor's degreeWorkers’ Compensation CertificationWCCAWCCPState Workers Compensation License