Claims Assistant (Pleasanton)

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 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 Claims Assistant will provide administrative support and overall assistance to Claims Examiners. This position exists to ensure the timely payment of benefits and administration of claims in compliance with state law.

WHAT YOU WILL DO

Deliver basic to intermediate administrative support to Claims Examiners.

• Contacts insured or other involved persons to obtain necessary information to process claim.
• Documents conversations or information on appropriate enterprise resource planning (ERP) system.
• Organizes and works with Examiner using computer to enter, access, search and retrieve data.
• Stays current with diary tasks and procedural changes.

Imparts exceptional customer service to internal and external customers, including insureds.

• Provides information to insured, injured worker or providing referrals to outside vendors as requested by the Examiner.
• Processes claims for indemnity payments and state mandated forms.
• Processes non-medical payments.
• Organizes and works with Examiner using computer to enter, access, search, and retrieve data.

Assist Claims Examiner with complete post-claims resolution and related administrative projects.

• Schedules appropriate medical appointments, calculate mileage and send appointment letter reminders.
• Interaction with nurse on case management regarding return to work status.
• Support Claims Examiners in the preparation, processing and monitoring of payments.

WHAT YOU BRING TO THE ROLE

• High school diploma or general education degree (GED), required.
• Minimum 1 year of related experience and/or training; or, equivalent combination of education and experience.

KNOWLEDGE AND SKILLS

• Solid customer service, phone and time management skills.
• Excellent data entry, strong attention to detail and ability to prioritize assignments.
• Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals.
• Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.

COMPENSATION

The salary range listed for this position is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors such as skills, experience and/or education. In addition, we believe in the importance of pay equity and consider internal equity of our current team members as part of any final offer. We typically do not hire at the maximum of the range in order to allow for future and continued salary growth. We also offer a substantial benefits package outlined below.

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.

#LI-ET1