Claims Associate

ICW Group

Triage Claims Associate responsible for reviewing and managing workers' compensation claims. Analyzing incoming claims and ensuring accuracy before transfer to the indemnity claims team.

Posted 6/7/2026full-timeSan Diego • California • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $36 per hourWebsite

About the role

Key responsibilities & impact

Review and analyze incoming workers' compensation claims to determine severity and benefits owed
Communicate with injured workers, employers, medical providers, and internal teams
Document claim details and triage decisions in the claims management system
Identify potential fraud indicators and escalate as needed
Maintain compliance with company policies and state regulatory requirements
Support continuous improvement initiatives within the triage process

Requirements

What you’ll need

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
Strong organizational and communication skills
Proficiency with on-line databases and/or claims management software (CXP or related) and Microsoft Office Suite
Strong analytical skills and attention to detail
Good time management skills and follow through on deliverables
Collaborative with a team orientation and sense of urgency

Benefits

Comp & perks

Competitive benefits package
Generous medical, dental, and vision plans
401K retirement plans with company match
Bonus potential for all positions
Paid Time Off
Paid holidays throughout the calendar year
Support for continuous learning

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementanalytical skillsattention to detailtime management

Soft Skills

organizational skillscommunication skillscollaborativeteam orientationsense of urgency

Certifications

high school diplomaAssociate degreeBachelor’s degree