Sr. Recovery Examiner

Overview

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? ICW Group is hiring team members who are ready to use their skills, curiosity, and drive to transform the insurance carrier space. We are proud to be in business for over 50 years. Learn more about why you want to be here!

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company with a focus on people.

The purpose of this job is to identify and pursue subrogation opportunities in the Workers’ Compensation claims line of business. The position reviews claims with subrogation potential, analyzes recovery prospects, files claims with responsible parties and their carriers, and negotiates settlements in accordance with statutory and case law and pertinent regulations. This role determines when litigation is a cost-effective method of seeking recovery and keeps Workers’ compensation claims examiners informed of significant developments.

• Manages all aspects of a complex claims inventory.
• Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide high-quality 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 results.
• Operates within the requirements of related state and/or governing entity rules and regulations as well as internal claims handling policies and procedures.
• Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.

• Consistently provides exceptional customer service.
• Effectively collaborates with team members from various departments for project and process discussions.
• Acts as a Subject Matter Expert for the department.
• Makes recommendations for streamlining processes and adopting industry best practices.
• Ensures accuracy of data in claims system for regulatory reporting compliance.
• Provides knowledge transfer across the organization.
• Continuously seeks to improve technical skills by attending job-related training and tracking current case law.
• Acts as a mentor and provides training for less experienced team members.

• Investigates and gathers necessary information to evaluate subrogation potential of assigned claims.
• Communicates with insureds to obtain information necessary for evaluating subrogation.
• Directs and manages legal counsel to ensure timely and cost-effective litigation.
• Attends arbitrations and/or mediations as workload allows.
• Analyzes police reports, investigative reports, policies, construction contracts, and OSHA reports.
• Pursues subrogation, recoveries and contributions vigorously and within statutory time frames.
• Maintains case lists and follows up with claims personnel and outside attorneys.
• Summarizes and analyzes depositions and medical reports/records.
• Maintains a calendar of important deadlines on cases.
• Assists in preparing subrogation department metric reports.
• Resolves claims fairly and equitably, acting in the best interest of the insured.
• Reports all recoveries to ensure they are credited to the claim file.
• Communicates effectively with other company departments.

This position has no supervisory responsibility but will serve as a technical leader.

Bachelor's degree from an accredited institution (or equivalent education and experience) along with 5+ years of related claims experience.

Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. State Workers Compensation License is required in some branches. Paralegal certificate from an…