Triage Claims Associate jobs in United States
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ICW Group · 11 hours ago

Triage Claims Associate

ICW Group is a well-established insurance company that has been in business for over 50 years. They are seeking a Triage Claims Associate to play a critical role in the initial assessment and routing of workers' compensation claims, ensuring accurate and complete claims files prior to their transfer to the indemnity claims team.

Financial ServicesInsurance
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Growth Opportunities
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H1B Sponsor Likelynote

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

Workers' Compensation knowledgeClaims management softwareOrganizational skillsCommunication skillsAnalytical skillsTime managementTeam collaboration

Required

High school diploma or equivalent
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
Prior Workers' Compensation industry experience
Basic understanding of workers compensation terminology and claims processes

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
We’ll support you 100%

Company

ICW Group

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ICW Group Insurance Companies is a top-tier, national, multi-line Property & Casualty insurance company, providing comprehensive coverage to safeguard our customers’ world.

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 Stage

Leadership Team

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Rob deViere
Vice President, Head of Distribution & Marketing
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Iva Yuan
Chief Actuary, Head of Reserving, Pricing and Product
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Company data provided by crunchbase