Hearing Representative (Southern California)
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 claim results through proactive analysis and resolution. The position is a hybrid field/office role in Southern California, with travel of up to 20 hours per week and appearances at WCAB district offices. The representative manages litigation and claim disputes, represents ICW Group at hearings, conferences, and trials, prepares case documents and reports, reviews billed invoices and liens, applies legal defenses, and negotiates resolutions or sets matters for trial. The role also provides workers’ compensation litigation expertise and partners with Claims Examiners and other departments to determine solutions.
Requirements
- Bachelor’s degree in Business Administration, Management, or a related field, or an equivalent combination of education and experience.
- At least 2–5 years of workers’ compensation experience.
- 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 effectively to top management, public groups, and boards of directors.
- Strong negotiation ability 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.
- Must be able to drive and work independently.
- Must be able to lift and carry 25–40 pounds.
Nice To Haves
- Claims examiner experience.
- Working knowledge of claims and the insurance industry.
- Familiarity with and ability to effectively use the California Labor Code, California Code of Regulations, and California Schedule for Rating Permanent Disabilities to rate disability impairment.
Responsibilities
- Manage litigation and claim disputes related to 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, litigation, and liens promptly and effectively.
- Resolve claims fairly and equitably in the insured’s best interest.
- Prepare documentation, court pleadings, reports, and settlement documents in accordance with applicable statutory and case 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 the litigation aspects of workers’ compensation claims.
- Apply appropriate legal defenses and negotiate resolutions or set matters for trial.
- Provide guidance and expertise to Underwriting, Risk Management Services, and other department operations.
- Partner with Claims Examiners to determine solutions.
Benefits
- Competitive benefits package with medical, dental, and vision plans.
- 401(k) retirement plan with company match.
- Bonus potential for all positions.
- Paid time off.
- Paid holidays throughout the calendar year.
- Support for continued learning.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
