Claims Examiner Trainee (Wayne, PA)

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group , we hire innovative people who consistently adapt, grow and deliver.

We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions.

Our mission is to create the best insurance experience possible.

ICW Group’s Claims Academy Training Program prepares aspiring professionals for a career as a Claims Examiner in the Worker’s Compensation Industry.

We are seeking energetic, customer focused individuals with a passionate desire to help others and who are looking to begin an exciting new career.

The program start date is 10 / 07 / 2024

Trainees will go through a Workers' Compensation Claims development program. Upon successful completion, they will move into a Claims Examiner Role where they will be managing claims and providing benefits to injured workers.

For more information on the Claims Academy program go to.

WHAT YOU WILL DO

Learn how to investigate and gather necessary information to process and settle claims

• Develop skills to be able to communicate with insureds to obtain information necessary for processing claims. Contact and / or interview injured workers, medical specialists or employers to obtain necessary information to manage a claim.
• Develop skills to be able to assist legal counsel to ensure timely and cost effective litigation. Gain an understanding of when to refer to legal counsel.
• Develop skills to be able to pursue subrogation, recoveries and contributions vigorously and within statutory timeframes.

Gain technical knowledge to ensure the fair and prompt management of cases

• Develop the skills to be able to present cases and participate in their discussion at claim committee meetings.
• Develop the skills to be able to create and adjust reserves in a timely manner to ensure reserving activities are consistent with company policies.
• Develop the skills to be able to manage and approve payment of benefits within the designated authority level.

Assist in the operational and administrative duties for the Claims department

• Develop the skills to administer benefits to injured workers.
• Learn to ensure accuracy of data in claims system for compliance with applicable regulatory reporting.
• Understand how to ensure appropriate referral to preferred vendor partners to comply with cost containment procedures to reduce overall claim cost.

Review and understand the medical aspects of claims management

• Develop knowledge of medical terminology.
• Learn the various types of diagnostic studies and how they are utilized
• Gain an understanding of the AMA guides and how to apply this knowledge

WHAT YOU BRING TO THE ROLE

• High School diploma or general education degree (GED) required.
• Bachelor’s degree from a four-year college or university preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

• All examiners must receive certification that meets the minimum standards of training, experience and skill.
• State Worker’s Compensation license is required in some branches.

KNOWLEDGE AND SKILLS

• Excellent verbal and written communication skills, time management and organizational skills.
• Requires a high level of attention to detail.
• Must have a sense of urgency for execution.

COMPENSATION

The compensation for this role is a progressive structure over a one-year period based on predetermined qualifications and goals being achieved :

Stage

Salary

Starting Pay

Initial Increase

Stage 1 completion*

Stage 2 completion*

Stage 3 completion*

Salary will be reviewed at completion date of each stage upon conclusion of claim file audit by reporting Supervisor / Manager and / or Audit & Compliance team confirming the outlined success measures / KPI have been met.

WHY JOIN ICW GROUP?

• Challenging work and the ability to make a difference
• You will have a voice and feel a sense of belonging
• We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
• Bonus potential for all positions
• Paid Time Off with an accrual rate of hours per pay period (equal to 17 days per year)
• 10 paid holidays throughout the calendar year
• Want to continue learning? We’ll support you 100%

ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex / gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

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