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ICW Group

Claims Account Manager I (Northern California)

RemoteUnited States only
Published
Experience
Mid
Employment
Full-time
Company size
Enterprise
$78.7k–$132.7k/yr
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Claims Account Manager I with 4+ years of claims or insurance experience and 1+ year in customer service. Must have strong knowledge of Workers' Compensation Claims and excellent communication skills. Requires a Bachelor's degree in Insurance, Business Administration, Economics, or related field, or equivalent experience. Must possess a current Driver's license and be able to travel up to 30% of the time.

Required skills

Workers’ Compensation ClaimsMicrosoft OfficeExcelWordPowerPoint

Required languages

English

What you'll do

  • Serves as main point of contact for customers, brokers, and account executives answering customer inquiries and resolving issues and complaints.
  • Supports clients in day-to-day account management adjusting focus depending on client situation.
  • Answers customers’ questions and provides needed information as appropriate.
  • Investigates customer complaints to determine causes and resolves complaints in a timely manner.
  • Resolves complex questions and issues and provides solutions to customers.
  • Maintains relationships with clients and account contacts.
  • Listens to build relationships and provide value.
  • Makes connections and refers inquiries to the appropriate company contact including Claims, Underwriting, Premium Audit, and Risk Management as needed.
  • Follows up to ensure timely resolution of questions and concerns.
  • Contacts new customers to explain ICW Group’s claim philosophy and process for managing injuries.
  • Coordinates efforts with the Medical Provider Network contact to discuss setting up the network by account.
  • Works proactively to deliver services and provide solutions to clients, resolve conflicts with clients, and smooth communication between staff and customers.
  • Participates in marketing for prospective business.
  • Serves as the account liaison between clients and various lines of business.
  • Communicates directly with underwriters on agency and sales calls to discuss ICW Group’s claims handling philosophy and to set up the claims special handling requirements by account.
  • Partners with Risk Management and Underwriting in resolving any complaints that may surface regarding account servicing by the claim’s unit.
  • Attends account renewal meetings to provide feedback on account specific issues.
  • Notifies Claims Examiners of complaints and complex questions and partners with the Claims Examiners to determine solutions.
  • Monitors the First Notice of Loss team’s monthly activity through statistical reports to determine efficiency in the claim reporting process for insureds.
  • Consults with management to develop and implement customer care solutions and works in collaboration with departments toward better communication.
  • Provides support and follow up with clients.
  • Walks clients through ICW website information.
  • Manages the claim review process.
  • Sets claim review dates through calendaring based on policy agreements and assists in completing claims reviews as needed.
  • Facilitates service team meetings to communicate ICW Group’s claim handling philosophy, current services, and service changes.
  • Requests claim status reports from examiners for customer claims reviews or if needed by an insured or broker.
  • Follows through with customers after the claim review takes place to outline agreements made during the review.
  • Leads client meetings to accounts assigned.
  • Gathers data, analyzes findings, and interprets results for account management.
  • Updates activity log with questions, issues, and requests to track trends.
  • Analyzes activity log to identify trends and communicate findings to upper management.
  • Prepares and runs customer care reports and loss runs for insureds, agents, and Underwriting.
  • Develops, conducts, and analyzes customer surveys regarding the claims servicing experience.
  • Creates and maintains client files in accordance with office procedures.
  • Updates and maintains client records.
  • Keeps informed on industry information, legislation, and technology to continuously improve knowledge and performance.

What they require

  • Bachelor's degree from a college or university required with a major or emphasis in, Insurance, Business Administration, Economics, or related field. Additional experience may be considered in lieu of degree.
  • Minimum 4 years of experience in claims or insurance related area required.
  • Minimum 1 years of experience in a customer service role required.
  • Current Driver license required.
  • Ability to speak effectively and present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
  • Ability to read, analyze, and interpret general business periodicals and to write reports, business correspondence or procedure manuals.
  • Ability to effectively respond to questions from groups of managers, clients, customers, and the general public.
  • Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
  • Travel required for client visits up to 30% of the time with occasional overnight stays.
  • Requires the ability to work from home when not traveling to other sites.

Benefits

  • We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
  • Bonus potential for all positions
  • Paid Time Off
  • Paid holidays throughout the calendar year
  • Want to continue learning? We’ll support you 100%

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.

🇺🇸 United StatesInsuranceEnterprise

Details

Visa sponsorshipNo
$78.7k–$132.7k/yr