Claims Technical Advisor - Workers' Compensation

ICW GroupSan Diego, CA
1d$90,560 - $152,723Hybrid

About The Position

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.

Requirements

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

Nice To Haves

  • Experience handling complex California workers’ compensation claims strongly preferred.
  • Prior leadership, training, oversight, or mentorship experience strongly preferred.
  • Professional certifications or designations aligned with industry standards (e.g., CPCU, AIC) are strongly preferred
  • Based on jurisdictional requirements, mandated Workers’ Compensation licensing may be required by individual states.

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.

Benefits

  • 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%
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