ICW Group · 13 hours ago
Triage Claims Associate
Pleasanton, CA
Full-time
Onsite
Entry Level
$22.54/hr - $35.54/hr
1+ years expICW Group is a well-established insurance company with over 50 years in the industry, seeking a Triage Claims Associate for Workers’ Compensation. This role is responsible for the initial assessment and routing of claims, ensuring accuracy and completeness before transferring them to the indemnity claims team.
Financial ServicesInsurance
Responsibilities
Reviews and analyzes incoming workers' compensation claims to determine the severity of the claims, benefits owed, ensures medical treatment is communicated to the injured worker, and reviews the claims file for completeness and accuracy of details
Communicates with injured workers, employers, medical providers, and internal teams to gather initial information
Documents claim details and triage decisions in the claims management system
Identifies potential fraud indicators and escalates as needed
Maintains compliance with company policies and state regulatory requirements
Supports continuous improvement initiatives within the triage process
Qualification
Required
High school diploma or equivalent required
Minimum 1+ year of related office or customer service experience
Strong organizational and communication skills
Adept at computer use including proficiency with on-line databases and/or claims management software (CXP or related) and Microsoft Office Suite
Ability to work in a fast-paced, detail-oriented environment
Strong analytical skills and demonstrated attention to detail
Must have good time management skills and follow through on deliverables
Collaborative with a team orientation and works with a sense of urgency for execution of deliverables
Preferred
Associate or Bachelor's degree preferred
Prior Workers' Compensation industry experience highly preferred
Basic understanding of workers compensation terminology and claims processes (preferred)
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
H1B Sponsorship
ICW Group has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (23)
2024 (24)
2023 (18)
2022 (14)
2021 (28)
2020 (11)
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
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