Workers' Compensation Claims Specialist

Creative Risk Solutions (CRS); Wisconsin; On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Paid Parental Leave

Tuition Reimbursement

401k Profit Sharing

Generous time off

Paid Volunteer time off

Merit increases

Discretionary bonus

Job summary

A leading Third-Party Administrator is seeking a Workers' Compensation Claims Specialist to manage claims across multiple states. The ideal candidate should have a strong background in Workers’ Compensation, excellent communication skills, and the ability to investigate and resolve claims efficiently. Responsibilities include thorough information transmission, claims evaluations, and procedural consistency in claims handling. The position offers generous benefits including paid parental leave, education reimbursement, and merit increase opportunities.

Qualifications

• Active Workers’ Compensation License required or ability to acquire within three months.
• 2-4 years of claims experience, specifically in Workers’ Compensation.
• Understanding of claims principles and practices.

Responsibilities

• Receive and transmit workers' compensation information accurately.
• Investigate and resolve Workers’ Compensation claims.
• Enter and maintain accurate information during the claim process.
• Compile and interpret Workers’ compensation reports.

Skills

Claims management

Workers' Compensation knowledge

Communication skills

Education

High school diploma; college degree preferred

AIC and CPCU designations

Job description

Workers' Compensation Claims Specialist

Join Creative Risk Solutions (CRS), a leading Third-Party Administrator under the Holmes Murphy umbrella, to excel in handling workers' compensation claims across Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa.

Responsibilities

• Receive, gather, and accurately transmit workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
• Investigate, evaluate, and resolve Workers’ Compensation claims.
• Mediator situations as they arise between the insured and the insurance company, with some support from a leader as needed, to include researching coverage issues.
• Enter and maintain accurate information on a computer system during the claim process, to include final settlement information.
• Generate daily checks for indemnity and medical payments.
• Develop and monitor consistency in procedural matters of the claims handling process with CRS.
• Compile and interpret Workers’ compensation reports on designated accounts, as requested.
• Adjudicate lost time claims.
• Participate in claim reviews and attend Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
• Perform special projects and other duties as requested.

Qualifications

• Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Licensing: Active state-specific Workers’ Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state-specific licenses during the duration of employment as needed.
• Experience: 2-4 years claims experience with a strong background in Workers’ Compensation coverage.
• Technical Competencies: Invest in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.

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. This means, even if you’re not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
• Generous time off practices in addition to paid holidays – Yes, we actually encourage employees to use their time off, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you – Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
• DE&I programs – Holmes Murphy is committed to celebrating every employee’s unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
• Consistent merit increase and promotion opportunities – Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
• Discretionary bonus opportunity – Yes, there is an annual opportunity to make more money. Who doesn’t love that?!

Holmes Murphy & Associates is an Equal Opportunity Employer.