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ICW Group

Claims Technical Advisor - Workers' Compensation

Reposted 4 Days Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in San Diego, CA
91K-153K Annually
Expert/Leader
In-Office or Remote
Hiring Remotely in San Diego, CA
91K-153K Annually
Expert/Leader
The Claims Technical Advisor drives technical excellence in workers' compensation claims, providing training, managing initiatives for operational efficiency, and ensuring consistent claim handling practices across branch offices.
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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? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver 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 ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more about why you want to be here!

PURPOSE OF THE JOB

The Claims Technical Advisor is responsible for driving technical excellence, consistency, and quality across branch offices. The position provides expert-level guidance, delivers targeted technical training, and leads the execution of key initiatives focused on reserve accuracy, litigation avoidance, resolution effectiveness, and operational efficiency. This role partners closely with regional leaders and cross‑functional teams to strengthen claim handling practices, support resolution strategies, enhance technical performance, reduce variation in processes, and support successful adoption of enterprise strategies.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Technical Leadership & Oversight

  • Provides technical guidance and consultation to Claims Professionals,  supervisors, and branch managers.

  • Develops office‑specific action plans focused on identified technical opportunities and KPI gaps.

  • Monitors claim handling quality, trends, and performance metrics to ensure consistent standards across locations.

Training & Capability Development

  • Designs, delivers, and maintains technical training programs targeted to identify technical gaps.

  • Supports new hire onboarding and ongoing skill development for all technical claims staff.

  • Coaches Claims Professionals on file strategy, reserving, valuation, negotiation, and risk assessment.

Strategic Initiative Execution

  • Leads and supports initiatives related to reserve accuracy, resolution strategy, and cycle time reduction.

  • Serves as a subject matter expert for enterprise projects and change management efforts.

  • Ensures consistent adoption of new tools, policies, and workflows across all offices.

Technical Review & Continuous Improvement

  • Conducts targeted technical file reviews to identify trends, root causes, and opportunities to strengthen claim handling practices.

  • Partners with claim leadership to translate observations into practical coaching, training and process improvements.

  • Monitors technical performance indicators and supports leaders in driving consistent claim handling standards across offices.

Cross‑Functional Partnership

  • Collaborates with Cost Containment, Legal, Claims Governance, and other internal partners to align claim strategies, litigation management practices, and technical standards.

  • Supports consistency in litigation strategy, medical management, and overall claim direction.

  • Participates in cross‑functional workgroups to enhance enterprise processes and outcomes.

Accountability & Performance Management

  • Reinforces compliance with best practices, quality standards, and company policies.

  • Ensures transparency of expectations, performance trends, and technical requirements.

  • Provides feedback to leadership regarding capability gaps, resource needs, and improvement opportunities.

  • Maintains and expands technical expertise through ongoing education/development to keep up with the industry’s best practices.

SUPERVISORY RESPONSIBILITIES

This role has no direct supervisory responsibilities but will provide training and feedback to team members.

EDUCATION AND EXPERIENCE

  • Bachelor’s degree in business or related (or equivalent combination of education/industry experience) required.

  • Minimum 10+ years of workers’ compensation claims experience, including complex claim handling.

  • Experience handling complex California workers’ compensation claims strongly preferred.

  • Prior leadership, training, oversight, or mentorship experience strongly preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

  • Based on jurisdictional requirements, mandated Workers’ Compensation licensing may be required by individual states.   

  • Professional certifications or designations aligned with industry standards (e.g., CPCU, AIC) are strongly preferred

KNOWLEDGE AND SKILLS

  • Advanced understanding of Workers’ Compensation claims principles and application.

  • Deep technical expertise in workers’ compensation claim laws, CT exposure, reserving practices, and settlement strategy.

  • Strong analytical skills with the ability to identify patterns, gaps, and root causes.

  • Excellent communication skills with the ability to influence without formal authority.

  • Proven ability to train, coach, and develop technical staff at all levels.

  • Partnership and collaboration skills across regions and functional departments.

  • Ability to manage multiple priorities and drive initiatives to completion.

  • Ability to effectively present information to colleagues and the Leadership Team.

PHYSICAL REQUIREMENTS

Office environment – no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.

WORK ENVIRONMENT

This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment. Travel required 25% of the time.

We are currently not offering employment sponsorship for this opportunity

#LI-ET1 #LI-Hybrid

The current range for this position is

$90,559.93 - $152,723.07

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 the 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

  • 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.

___________________

Job Category

Claims

Top Skills

Analytical Tools
Insurance Software
Workers' Compensation Claims Principles

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