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Workers' Compensation Audit & Compliance Specialist

Employer
ICW Group
Location
San Diego, California
Salary
Not Specified
Closing date
Nov 29, 2024
View more categoriesView less categories
Category
Claims, Workers' Compensation
Job Type
Not Specified
Career Level
Not Specified
Workplace
In-Office

Job Details

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create the best insurance experience possible.

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for seven consecutive years as a Top 50 performing P&C company offering the stability of a large, profitable and growing company combined with a small-company entrepreneurial spirit. Our purpose-driven ethos provides team members with opportunities to contribute, develop, and belong.

The Workers' Compensation Audit & Compliance Specialist will perform audits of processes and claims for multi-jurisdictions and states. This position exists to ensure that claims are handled in compliance with the best practices and procedures compliant with applicable state laws.

Candidates will be required to work a hybrid schedule if they live near one of following ICW Group's branch offices:

  • California - San Diego, Woodland Hills, Pleasanton, or Rancho Cordova
  • Lisle, IL
  • Wayne, PA
  • Lake Mary, FL
  • Las Vegas, NV
  • Round Rock, TX

WHAT YOU WILL DO

Conducts financial and procedural claims audits based on various sampling methods.

  • Documents audit results and recommends quality improvement measures.
  • Generates monthly reports documenting overall statistical and financial errors.
  • Prepares information for California Workers' Compensation Adjuster Certification Data Call.
  • Oversees and prepares responses to all audits whether internal or external.
  • Participates in Comprehensive Error Rating Testing (CERT) development, testing, and audit.

Develops workflows and implements training programs and workflows for technical and non-technical positions to ensure operational integrity.

  • Creates and documents internal protocols to ensure procedural changes are implemented across all impacted offices.
  • Ensures process and procedures changes are appropriately documented and compliant with all regulations.
  • Develops reporting to successfully measure training needs and results.

Designs and recommends compliance policies, processes and procedures for multi-jurisdictions states and municipalities.

  • Analyzes and manages incoming compliance audit requests including preparing response documents to ensure controls; makes recommendations for improvements.
  • Develops processes and workflows to maximize productivity and deliverables within hard deadlines.
  • Documents time spent on audits and facilitates with accounting team for billings associated therewith.

WHAT YOU BRING TO THE ROLE

  • High school diploma or general education degree (GED) required.
  • Minimum 3 years of technical Workers' Compensation background is required.

KNOWLEDGE AND SKILLS

  • Working knowledge of Workers' Compensation insurance principles and practices required.
  • Strong time-management, good organizational skills, sense of urgency, and attention to detail.
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence.
  • Ability to speak effectively before groups of customers or employees of the organization.
  • Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
  • The ability to choose the right mathematical methods or formulas to solve a problem.

COMPENSATION

The current salary range for this position is $65,220.24 to $109,989.53. This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate; including experience, education, and location of the role and considers employees performing substantially similar work.

WHY JOIN ICW GROUP?

  • Challenging work and the ability to make a difference
  • You will have a voice and feel a sense of belonging
  • 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 with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
  • 10 paid holidays throughout the calendar year
  • Want to continue learning? We'll support you 100%

ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

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Company

 

ICW Header

 

Headquartered in San Diego, ICW Group is a multi-line insurer that provides coverage solutions to businesses through a network of independent agents and brokers. ICW Group offers three types of insurance—workers' compensation, earthquake and auto insurance. Known for meeting the needs of its policyholders, ICW Group prides itself on providing service that is truly customer-centric. In recent years, ICW Group has earned a reputation for helping policyholders achieve fewer and less costly claims. The company accomplishes this through extensive risk management expertise, highly proactive claims handling, and aggressive fraud monitoring.

At ICW Group, our focus and passion is offering great insurance products, services and experiences. We honor our commitments to our customers, our communities and each other to ensure that you have a better today and a safer tomorrow. With our home office in sunny San Diego, CA and with 10 branches across the U.S., ICW Group has over 40 years of experience in property and casualty insurance. Our passionate and creative team members are the power behind our successful business. 

A strategic investment in innovation today is critical to our success in the future. Our leaders welcome people who are eager to bring the power of innovation, the willingness to try something different or adopt a new approach or technology as we evolve to meet the needs of our customers and agents. Our culture fosters experimentation in models, processes, and products in an effort to move forward and help shape not only ICW Group’s future but the insurance marketplace as a whole. 

ICW Group is committed to the satisfaction of our customers and recognizes that satisfied, contributing Team Members are the foundation of a superior customer experience. With a team of 880, our enterprise is sized just right to provide broad challenging job responsibilities in a more personal environment. An important part of this personal approach to your success is our commitment to health and wellness. We provide a comprehensive program to help you maintain your total health because we believe that being at your personal and professional best is important to you and your family. 

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