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

Yourcaptive; Virginia (MN); Remote; USD 60,000 - 80,000; Full time

Job description

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

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.

About Us:

Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.

Benefits:

In addition to core benefits like health, dental and vision, also enjoy benefits such as:

• 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.

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