Sr. Workers' Compensation Claims Specialist, Supervisor - REMOTE

Holmes Murphy; Town of Texas (WI); Remote; USD 65,000 - 109,000; Full time

Job summary

A leading provider of innovative risk management solutions is seeking a Sr. Workers' Compensation Claims Specialist, Supervisor. This remote role involves overseeing claims handling, supporting staff development, and ensuring compliance with insurance regulations. Candidates should have extensive claims experience and strong problem-solving skills. The company offers a comprehensive benefits package and a supportive culture.

Benefits

Paid Parental Leave

Tuition Reimbursement

401k Profit Sharing

Generous Time Off

Community Support

DE&I Programs

Merit Increases

Discretionary Bonus Opportunities

Qualifications

• 5+ years of adjusting property and casualty claims including litigated claims.
• Active state-specific Workers Compensation License required.

Responsibilities

• Adjudicate claims during staffing shortages and negotiate settlements.
• Ensure appropriate staffing, including hiring and terminations.
• Conduct performance reviews and set goals.

Skills

Claims Processing

Problem Solving

Communication

Education

High School Diploma

College Degree

AIC

CPCU

Job description

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Job Description

We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states. This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff with investigating, communicating, evaluating, and resolving claims using the CRS Best Practice of Claim Handling. They will also support staff with goals, career development, and engagement.

Essential Responsibilities

Claims Management:

• Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.”
• Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed.
• Research and respond to questions and complaints from insureds, claimants, agency partners, and fronting carriers.
• Discuss complex claims and coverage issues with clients, addressing any inquiries.
• Maintain communication with customers and fronting carriers per “CRS Communication Expectations” and “Reportable” file guidelines.
• Assist staff in managing litigation claims, ensuring timely responses and protecting the interests of insured and carriers.

Management Responsibilities

• Ensure appropriate staffing, including hiring and terminations.
• Coach team members on workflow, processes, customer service, and client consulting.
• Conduct performance reviews, set goals, and hold employees accountable.
• Foster career development and manage timesheets and compensation decisions.
• Coordinate training and maintain standardized processes for quality service.
• Facilitate regular team meetings and attend enterprise and leadership training.

Additional Responsibilities

• Conduct monthly performance meetings and quarterly team meetings.
• Set and monitor annual goals for staff.
• Participate in round tables, claim reviews, and Risk Control Workshops.
• Mediate between insured and insurance company, addressing coverage issues and large loss reporting.
• Analyze performance data to implement necessary changes.
• Review all files at least every 90 days.

Qualifications

• Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Experience: 5+ years of adjusting property and casualty claims, including litigated claims. Prior agency, loss control or carrier experience preferred. Prior supervisory experience preferred.
• Licensing: Active state-specific Workers Compensation License required or the ability to acquire license within three months of hire.
• Skills: Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties, proficient in claims processing procedures, knowledge or ability to learn multiple state insurance regulations; pass state licensing exams.
• Technical Competencies: Strong grasp of claims principles, practices, and insurance coverage interpretation. Prioritize problem-solving, foster relationships, collaborate, and ensure compliance to deliver impactful solutions and a world-class client experience.

About Us

Creative Risk Solutions is a leading provider of innovative risk management solutions, specializing in claims management, loss control, and risk consulting. We are committed to excellence, integrity, and creating value through proactive strategies. We emphasize building a strong culture through trust, communication, meaningful client relationships, and team success.

Benefits

• Paid Parental Leave and support for new parents
• Company paid continuing education & tuition reimbursement
• 401k Profit Sharing, with Holmes Murphy contributions
• Generous time off practices, paid holidays
• Community support via paid volunteer time off and charitable matching
• DE&I programs, including paid Diversity Day, DE&I leadership, and participation opportunities
• Merit increases and promotion opportunities annually
• Discretionary bonus opportunities

The salary range for this role is $65,000–$109,000, based on experience, education, and certifications. Holmes Murphy offers a comprehensive total rewards package including bonuses, wellbeing benefits, and professional development support.

Additional Details

Remote work option available.