Director, Workers' Compensation Claims

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!

JOB SUMMARY

The Director, Workers’ Compensation Claims, leads assigned branches, overseeing claims handling strategies, compliance, and team performance with a focus on either California or multiple states. This role plays a critical part in driving continuous improvement, delivering cost-effective outcomes, and ensuring exceptional service for policyholders and injured workers. By ensuring excellence in claims resolution and leadership, the Director also directly influences ICW Group’s reputation in the marketplace as a trusted, high-performing carrier. 

RESPONSIBILITIES 

Strategic Claims Management 

• Leads branch managers to ensure fair, timely, and cost-effective claim resolutions 

• Establishes and maintains compliance with all state regulations and company policies 

• Works closely with branch managers to establish the department’s strategy and philosophy of claims handling 

• Ensures compliance with state regulations through periodic audits, reporting of losses, as well as client retention through excellent customer service  

• Directs the efforts of branch managers to ensure claims are proactively and fairly processed to achieve the best possible results with an acceptable closing ratio    

• Approves reserves and settlements based on data and authority guidelines; provides rationale for claims where reserves exceeds approval limits  

• Oversees the strategy for litigated claims, reserve practices, and planning for claims closure  

Operational Excellence  

• Drives continuous improvement in processes, technology, and customer service 

• Identifies necessary resources and training; adjusts staffing based on claims volumes and desired outcomes 

• Works closely with Claims leadership to manage branch expenses and budgets   

• Manages department budget, technology and other resources, workload and customer requests 

• Ensures claims quality, adherence to Company guidelines, profitability and other risk-related metrics for assigned branches  

Stakeholder Engagement 

• Collaborates cross functionally (Underwriting, Risk Management, Actuarial, IT and Finance) to build strong partnerships and communicate with internal stakeholders to align strategies and achieve enterprise goals  

Team Leadership 

• Acts as a subject matter expert for worker’s compensation, supporting claims managers in resolving complex issues  

• Attracts, motivates, develops, and retains talent through strong hiring practices, recognition of top performers, coaching for success and identifying gaps that can be addressed with training  

• Ensures claims managers are accountable for providing orientation, training and coaching for new team members  

• Embraces a continuous learning mindset and development of team members through training and challenging the “status quo”   

• Manages budgets, staffing, and resources to meet department goals 

QUALIFICATIONS & SKILLS  

• Bachelor’s degree (or equivalent experience and education required); advanced degree preferred 

• 12 -15+ years of claims leadership experience, with at least 5 years managing leaders 

• Expertise in California or multi-state workers’ compensation laws and operations dependent upon assigned branches 

• Adjuster Certification of Workers’ Compensation may be required depending on Branch and/or State. 

• Expert knowledge in either California (or states outside of California) workers’ compensation laws, compliance requirements, and best operational practices  

• Proven expertise in leading, coaching and mentoring technical claims managers and professionals  

• Ability to communicate with all levels of the organization in a collaborative manner  

• Must possess excellent verbal communication skills, time management skills, and problem-solving abilities 

• Strong communication, problem-solving, and organizational skills 

We are currently not offering employment sponsorship for this opportunity

#LI-NT1 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 with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
•    11 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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