Claims Assistant Jobs in Fallbrook, CA (NOW HIRING)

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 ourjourney as we strive to transform the insurancecarrier 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 the twelfth consecutive year in a row and for the 20th time overall 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 ourinternal and external communities better everyday! Learn more about why you want to be here!

PURPOSE OF THE JOB

The Senior Claims Assistant supports Claims Examiners with administrative tasks, helping ensure benefits are paid timely and claims are administered in compliance with state law. This role also mentors and trains less-experienced Claims Assistants.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Delivers intermediate to advanced administrative support to Claims Examiners.

• Contacts insured or other involved persons to obtain necessary information to process claims.

• Documents conversations or information on appropriate enterprise resource planning (ERP) system.

• Stays current with diary tasks and procedural changes.

• Provides training and mentoring to less-experienced Claims Assistants

• Organizes and works with assigned Claims Examiners and appropriate departments to enter, access, search and retrieve data.

Provides exceptional customer service to internal and external customers.

• Provides customer service by relaying information to insureds, claimants, vendors and any other relevant parties as requested by the Claims Examiner.

• Processes claims related payments.

Assists Claims Examiner through claims resolution and related administrative projects.

• Supports Claims Examiners in the preparation, processing and monitoring of payments.

• Communicates pertinent claim information to the client, legal counsel, and other providers as well as internal claims staff.

• Ensures documentation required to process claims is accurate and complete for auditing purposes. Provides mentorship and training to less experienced Claim Assistants.

SUPERVISORY RESPONSIBILITIES

This role does not have supervisory responsibilities.

EDUCATION AND EXPERIENCE

High school diploma or general education degree (GED) required. Minimum of 2 - 3+ years' experience as a Claims Assistant or closely related experience required.

CERTIFICATES, LICENSES, REGISTRATIONS

None required

KNOWLEDGE AND SKILLS

• Intermediate computer skills with Microsoft Office Suite with the ability to learn enterprise resources planning (ERP) software.

• Strong understanding of claims principles and practices.

• Superior customer service, phone etiquette and time management skills.

• Excellent skills with data entry, attention to detail and ability to prioritize assignments.

• Must have the ability to:

  • Read, write and comprehend simple instructions, short correspondence and memos.

  • Present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

  • Use basic math skills to add, subtract, multiply and divide using whole numbers, common fractions and decimals.

  • Collaborate effectively with others to achieve team goals and foster a positive team environment.

  • Exercise sound judgment in executing work deliverables from written or verbal instructions.

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.

This description is a general statement of essential job functions and responsibilities.

The position may include other duties as assigned.

We are currently not offering employment sponsorship for this opportunity

#LI-ET1 #LI-Hybrid

The current range for this position is

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.

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