Sr. Workers' Compensation Claims Specialist, Supervisor (REMOTE)

Creative Risk Solutions, LLC; West Des Moines (IA); Hybrid; USD 75,000 - 125,000; Full time

Benefits offered by this job

Health, dental, and vision coverage

Paid parental leave

Tuition reimbursement

401(k) profit sharing

Generous time-off

Volunteer time off

Diversity and inclusion initiatives

Job summary

Holmes Murphy & Associates is seeking a Sr. Workers’ Compensation Claims Specialist, Supervisor to lead our CRS team.

The role requires jurisdictional experience across multiple states and oversight of litigated and complex claims, guiding staff through investigation, communication, evaluation, and resolution in line with best practices. The position emphasizes team leadership, staff development, and collaboration with clients and carriers to ensure high-quality outcomes.

Qualifications

• 5+ years of adjusting property and casualty claims, including litigated claims.
• Active state Workers' Compensation license or ability to obtain within 3 months of hire.
• Strong knowledge of general/auto liability or workers' compensation coverage and applicable regulations.

Responsibilities

• Adjudicate and oversee claims during staffing shortages; investigate, document, and negotiate settlements per Best Practices.
• Coach team members on workflow, processes, customer service, and client consulting; conduct performance reviews and set goals.
• Coordinate training, maintain standardized processes for quality service, and provide backup assistance as needed.
• Review all files at least every 90 days and participate in claims reviews and risk control workshops.

Skills

Claims management

Team leadership

Communication

Regulatory knowledge

Education

High school diploma

AIC designation

CPCU designation

Job description

Job Overview

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 and will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. The role includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling, as well as supporting career development and employee engagement.

Essential Responsibilities

• Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per the 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, maintain communication with customers and carriers per CRS Communication Expectations and Reportable file guidelines, and assist staff in managing litigation claims to ensure timely responses and protect the interests of insured parties and carriers.
• Management Responsibilities – Team Leadership: 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.
• Management Responsibilities – Team Coordination: Facilitate regular team meetings and attend enterprise and leadership training; coordinate training and maintain standardized processes for quality service; provide backup assistance as needed.
• 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 companies, 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 required; college degree preferred. Technical designations such as AIC and CPCU encouraged.
• 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 obtain the license within three months of hire.
• Skills: Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties; proficiency 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; commitment to compliance requirements; strong problem‑solving abilities; collaborative mindset; dedication to delivering a world‑class client experience.

Salary

The salary range for this role is $75,000–$125,000. Compensation is based on several factors, including education, work experience, and industry certifications.

Benefits

• Health, dental, and vision coverage
• Paid parental leave and supportive new‑parent benefits
• Company‑paid continuing education and tuition reimbursement
• 401(k) profit sharing
• Generous time‑off practices in addition to paid holidays
• Paid volunteer time off and employee matching gifts to charities
• Inclusion and belonging initiatives, including diversity day time off
• Consistent merit increase and promotion opportunities
• Discretionary annual bonus opportunity

Equal Opportunity Employer

Holmes Murphy & Associates is an Equal Opportunity Employer.