ICW Group · 1 month ago
Senior Triage Examiner
United States
Full-time
Remote
Mid, Senior Level
$62K/yr - $98K/yr
2+ years expICW Group is a well-established insurance company dedicated to transforming the insurance carrier space. The Senior Triage Examiner role involves managing new Workers’ Compensation losses, assessing claims, and preparing action plans for permanent handling by examiners.
Financial ServicesInsurance
No H1B
Responsibilities
Administers benefits to injured workers in accordance with statutory and case law as well as pertinent regulations for the first 10 days of the claim
Represents the Workers’ Compensation Department and ICW Group when interacting with injured workers
Communicates with insureds to obtain information necessary for processing claims
Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information
Communicates claim activity and processing with the injured worker and insured
Maintains professional client relationships
Communicates effectively with other Company departments
Creates reserves in a timely manner to ensure reserving activities are consistent with company standards and best practices guidelines
Manages complex claims and approves payment of benefits within higher designated authority level
Assesses claims fairly and equitably, acting in the best interest of all parties and providing benefits as prescribed by law
Ensures claim files are properly documented and claims coding is correct
Refers cases as appropriate to supervisor and management
Prepares an action plan and set diaries, in preparation for assigning the file to an examiner for permanent handling
Assists with special projects and development of more junior team members as needed
Qualification
Required
High school diploma or general education degree (GED)
Minimum of 2-3 years of insurance or claims related experience, or equivalent combination of education and experience
Minimum 1-2 years of workers' compensation claims experience
State Workers' Compensation License as required
Understanding of laws and jurisdictional restraints to manage injuries
Excellent verbal and written communication skills
Time management and organizational skills
High level of attention to detail
Team oriented and a sense of urgency for execution
Able to resolve conflicts fairly and equitably
Problem solving and decision-making ability
Preferred
Bachelor's degree from four-year college or university
California Workers' Compensation Claims Administration (WCCA) certification
Workers' Compensation Claim Professional (WCCP) certification
Benefits
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 you 100%
Company
ICW Group
ICW Group Insurance Companies is a top-tier, national, multi-line Property & Casualty insurance company, providing comprehensive coverage to safeguard our customers’ world.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Rob deViere
Vice President, Head of Distribution & Marketing
Iva Yuan
Chief Actuary, Head of Reserving, Pricing and Product
Recent News
2025-10-09
Company data provided by crunchbase