Workers’ Compensation Claims Specialist (FL, KY, NC, VA, GA) REMOTE

Yourcaptive; Virginia (MN); Remote; USD 57,000 - 98,000; Full time

Job summary

An innovative company is seeking a Workers’ Compensation Claims Specialist to join a vibrant team. This role involves managing claims, mediating between parties, and ensuring compliance with various jurisdictional requirements. The ideal candidate will have extensive experience in claims handling and a strong grasp of insurance principles. Enjoy a supportive work environment that fosters personal growth and offers generous benefits, including paid parental leave, continuing education reimbursement, and a comprehensive rewards program. If you are passionate about making a difference in the insurance industry, this opportunity is for you.

Benefits

Paid Parental Leave

Tuition Reimbursement

401k Profit Sharing

Generous time off

Paid Volunteer time off

Employee matching gifts to charities

DE&I programs

Merit increases and promotion opportunities

Discretionary bonus opportunity

Qualifications

• 3-5 years of experience in Workers’ Compensation claims handling.
• Active state-specific Workers Compensation License required.

Responsibilities

• Gather and transmit workers’ compensation information accurately.
• Investigate and resolve lost time Workers’ Compensation claims.

Skills

Knowledge of Workers’ Compensation insurance

Claims processing procedures

Problem-solving

Adaptability to software programs

Education

High school diploma

College degree

Technical designations (AIC, CPCU)

Tools

Claims management software

Job description

Job Description:

We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in FL, KY, NC, VA, GA. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!

Essential Responsibilities:

• Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
• Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims.
• Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
• Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
• Generates checks for indemnity and medical payments daily.
• Develops and monitors consistency in procedural matters of claims handling process within CRS.
• Willingness to become licensed if required in jurisdiction where claims are handled.

Qualifications:

• Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Experience: 3-5 years claims experience with strong background in Workers’ Compensation claims handling.
• Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in FL, KY, NC, VA, GA.
• Skills: An ideal candidate will have proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
• Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.

Benefits:

• Paid Parental Leave and supportive New Parent Benefits.
• Company paid continuing Education & Tuition Reimbursement.
• 401k Profit Sharing.
• Generous time off practices in addition to paid holidays.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities.
• DE&I programs.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

The salary range for this role is $57,000–$98,000. Compensation is based on several factors, including, but not limited to, 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.