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Handle complex California workers' compensation claims from investigation through resolution. Communicate with stakeholders, direct defense counsel, manage reserves and benefits, and use litigation and settlement strategies. Serve as SME, mentor colleagues, support specialty handling for catastrophic or long-duration claims, ensure regulatory compliance and accurate claims data, and continuously improve processes and technical skills.

Support and manage EDI compliance and reporting for workers compensation claims (FROI/SROI, Medicare Section 111). Reconcile and validate EDI transactions, investigate and resolve errors, maintain documentation and workflows, assist audits, support trainings, collaborate with IT/vendors, and provide analytical and project-based support to Claims and stakeholders.

Lead design, build, and scaling of ICW Specialty's delegated authority and program business (MGAs/MGUs/Program Administrators). Own partner sourcing, contracts, underwriting governance, compliance, P&L, performance monitoring, reinsurance coordination, and team development while partnering with underwriting, actuarial, claims, legal, compliance, and finance.

The Actuarial Specialist produces analyses, manages projects, and oversees team workload to enhance actuarial processes in the organization, ensuring business growth and profitability.