Hearing Representative (California)

ICW Group•San Diego, CA

3d•$90,560 - $152,723•Hybrid

About The Position

The Hearing Representative serves as a litigation representative for workers’ compensation claims, attending hearings and depositions and resolving disputes. The role aims to reduce allocated loss adjustment expenses and improve results through proactive claim analysis and resolution. This is a hybrid field/office position involving appearances at WCAB district offices and work in an office setting. The position has no supervisory responsibilities.

Requirements

Bachelor’s degree in Business Administration, Management, or a related field, or an equivalent combination of education and experience.
Two to five years of workers’ compensation experience.
Ability to use the California Labor Code, California Code of Regulations, and California Schedule for Rating Permanent Disabilities to rate disability impairment.
Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
Ability to respond to inquiries or complaints from counsel, claimants, customers, regulatory agencies, and members of the business community.
Ability to present information to top management, public groups, and boards of directors.
Strong negotiation skills to resolve legal issues before the WCAB with opposing counsel, claimants, and co-defendants.
Strong oral communication skills to articulate the company’s position in contested legal matters to opposing parties, Information Officers, and WCAB judges.
Able to travel up to 20 hours per week, drive, work independently, and lift and carry 25–40 pounds.

Nice To Haves

Claims examiner experience.
Working knowledge of claims and the insurance industry.

Responsibilities

Manage litigation and claim disputes involving workers’ compensation claims.
Attend claim hearings representing ICW Group.
Appear at WCAB lien conferences and trials, and occasionally at status, priority, and mandatory settlement conferences.
Schedule and attend settlement walk-through hearings with claimants and/or counsel.
Reduce loss adjustment expenses by resolving disputed claims and litigation, including liens, quickly and effectively.
Resolve claims fairly and equitably in the best interest of the insured.
Prepare documentation for assigned cases, including court pleadings, reports, and settlement documents in accordance with applicable law and regulations.
Prepare for and attend depositions, maintaining notes and correspondence.
Submit timely Hearing Reports to claims personnel and claims management.
Review and analyze billed invoices and liens and compare them with professional bill review analysis.
Provide subject matter expertise on litigation aspects of workers’ compensation claims.
Apply appropriate legal defenses and negotiate resolutions or set matters for trial.
Provide guidance and expertise to other departments, including Underwriting and Risk Management Services.
Partner with Claims Examiners to determine solutions.