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

Holmes Murphy; Wisconsin; On-site; USD 75,000 - 125,000; Full time

Benefits offered by this job

Paid Parental Leave

Tuition Reimbursement

401k Profit Sharing

Generous paid time off

Volunteer time off

Diversity and Inclusion programs

Merit increases and promotion

Discretionary bonus

Job summary

Holmes Murphy is seeking a Sr. Workers’ Compensation Claims Specialist, Supervisor, to lead the Creative Risk Solutions team. The ideal candidate has multi-state jurisdiction experience and provides high-quality claims oversight for litigated and complex cases.

Responsibilities include adjudicating claims, staff coaching, performance reviews, and coordinating training. Requires an active Workers' Compensation license or ability to obtain within three months and 5+ years of adjusting

Qualifications

• Education: High school diploma; college degree preferred.
• Experience: 5+ years in adjusting property and casualty claims, including litigated claims.
• Licensing: Active state Workers' Compensation license or ability to obtain within 3 months.
• Skills: Broad knowledge of General/Auto Liability or Workers' Compensation coverage.
• Technical: Strong claims principles and regulatory compliance.

Responsibilities

• Adjudicate claims during staffing shortages and negotiate settlements per Best Practices.
• Monitor and document claim files across coverage, investigation, reserves, plan of action, legal and medical management.
• Research and respond to questions from insureds, claimants, agency partners, and fronting carriers.
• Discuss complex claims and coverage issues with clients and address inquiries.
• Maintain communication with customers and fronting carriers per established guidelines.
• Assist staff in managing litigation claims and protect insured and carrier interests.

Skills

Claims processing

Regulatory compliance

Workers' compensation

General liability knowledge

Supervisory experience

Litigation handling

Education

High school diploma

College degree preferred

AIC

CPCU

Tools

License: Workers' Compensation

Job description

Job Description

We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join the 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 supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling, assisting claim staff with goals, career pathing, and ensuring engagement.

Essential Responsibilities

• 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

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.

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 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, contributing to workflows and adhering to compliance requirements. Priorities include problem‑solving, fostering relationships, collaborating to deliver impactful solutions and a world‑class client experience.

Benefits

• Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey!
• Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
• 401k Profit Sharing — Each year, Holmes Murphy makes a lump sum contribution to every full‑time employee’s 401k.
• Generous time off practices in addition to paid holidays.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities.
• Inclusion & Belonging Programs — Inclusive initiatives, paid Diversity Day, Committee, Employee Resource Groups, and development programs.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

Salary range for this role is $75,000–$125,000. Compensation is based on several factors, including education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.

Holmes Murphy & Associates is an Equal Opportunity Employer.