Claims Examiner – Workers' Compensation

ICW Group

. Manage all aspects of a moderately complex claims inventory .

Posted 10/15/2026full-timeRemote • United StatesJunior💰 $61,979 - $97,737 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing claims inventory, ensuring compliance with state regulations, and effectively communicating with stakeholders. Proficient in workers' compensation claims handling, including investigation, negotiation, and resolution strategies.

Highest-signal resume keywords

Workers' Compensation CertificationClaims Handling ExperienceState Workers Compensation LicenseClaims System Data AccuracyLegal Document Interpretation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Inventory ManagementClaims InvestigationNegotiationClaims Resolution StrategiesData AccuracyReservingLitigation ManagementRegulatory ReportingProcess StreamliningBenefits Payment Administration

Soft Skills

Verbal CommunicationTime ManagementAttention to DetailOrganizational SkillsFlexibility

Certifications & Qualifications

Workers' Compensation CertificationWCCAWCCP

Industry Keywords

Claims HandlingWorkers' CompensationLegal Fees MonitoringCustomer ServiceCase Law

About the role

Key responsibilities & impact

Manage all aspects of a moderately complex claims inventory
Communicate with policyholders, agents, attorneys, and witnesses to gather information and provide customer service
Investigate claims to determine exposure, work with experts, and make strategic recommendations
Use mediation, negotiation, denial, litigation, or offers to drive claim resolution
Operate within state regulations and internal claims handling policies and procedures
Partner with defense counsel throughout litigation while monitoring legal fees and costs
Collaborate with cross-functional team members on projects and processes
Recommend process streamlining opportunities
Ensure claims-system data accuracy for regulatory reporting
Provide knowledge transfer across the organization
Attend job-related training and track current case law
Prepare and present claims status reports
Administer, manage, and approve benefits payments to injured workers within authority levels
Create and adjust reserves in accordance with company policies
Resolve claims fairly and equitably while providing timely benefits as required by law

Requirements

What you’ll need

Bachelor's degree (or equivalent combination of education and experience) required
Minimum 1–4+ years’ related claims or claims handling experience
Workers’ Compensation certification meeting minimum standards of training, experience, and skill required
State Workers Compensation License required in some branches
WCCA and WCCP preferred
Basic to good understanding of laws and jurisdictional restraints to manage claims
Excellent verbal communication, time management, attention to detail, and organizational skills
Ability to learn new technology
Flexibility to adapt to changes in a fast-paced environment
Ability to read, analyze, and interpret technical and legal documents
Ability to write reports and business correspondence
Ability to respond to inquiries or complaints from customers, claimants, and regulatory agencies
Ability to present information at meetings, to management, and clients
Ability to solve practical problems and deal with variables where limited standardization exists
Knowledge of workers’ compensation claims handling, reserving, litigation management, and resolution strategies

Benefits

Comp & perks

Competitive benefits package
Medical, dental, and vision plans
401K retirement plan with company match
Bonus potential
Paid Time Off
Paid holidays throughout the calendar year
Support for continued learning
Challenging work and the ability to make a difference
Voice and sense of belonging