Claims Examiner – Workers' Compensation

ICW Group

Claims Examiner managing workers' compensation claims for ICW Group. Responsible for client communication, investigation, and claims resolution within the established guidelines.

Posted 6/16/2026full-timePleasanton • California • 🇺🇸 United StatesJunior💰 $61,979 - $97,736 per yearWebsite

About the role

Key responsibilities & impact

Manages all aspects of a moderately 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
Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law

Requirements

What you’ll need

Bachelor's degree (or equivalent combination of education and experience) required
Minimum 1-4+ years’ related claims or claims handling experience
Certification that meets the minimum standards of training, experience, and skill required for Workers’ Compensation
Knowledge of workers’ compensation claims handling, reserving, litigation management, and resolution strategies

Benefits

Comp & perks

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 handlinglitigation managementresolution strategiesinvestigationnegotiationmediationdenialofferreservingcustomer service

Soft Skills

communicationstrategic thinkingproblem-solvinginterpersonal skillsfairnessequitytimeliness

Certifications

Workers’ Compensation certification