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

Holmes Murphy; Waukee (IA); Remote; USD 57,000 - 98,000; Full time

Job summary

Join a vibrant and innovative company as a Workers’ Compensation Claims Specialist, where your expertise will play a crucial role in managing claims across multiple jurisdictions. This position offers a unique opportunity to thrive in a supportive environment, emphasizing professional growth and community involvement. You will be responsible for investigating and resolving claims, ensuring accuracy in the claims process, and fostering relationships with clients. With a commitment to excellence and integrity, this role is perfect for those looking to make a meaningful impact in the risk management field.

Benefits

Paid Parental Leave

Company-paid Continuing Education

401k Profit Sharing

Generous time off practices

Paid Volunteer time off

Merit increases

Discretionary bonus opportunities

Qualifications

• 3-5 years of claims experience with a strong background in Workers’ Compensation.
• Active state-specific Workers’ Compensation License or ability to acquire it.

Responsibilities

• Investigate and resolve Workers’ Compensation claims, including litigated claims.
• Gather and transmit compensation information to the company accurately.

Skills

Workers’ Compensation insurance coverage

Claims processing procedures

Adjudicating lost time claims

Problem-solving

Relationship fostering

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

• 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 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 leadership, including researching coverage issues.
• Enter and maintain accurate information on a computer system during the claim process, including final settlement information.
• Generate checks for indemnity and medical payments daily.
• Develop and monitor consistency in procedural matters of claims handling process within CRS.
• Willingness to become licensed if required in the 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 a strong background in Workers’ Compensation claims handling.
• Licensing: Active state-specific Workers’ Compensation License required or the ability to acquire it within three months of hire. Jurisdictional expertise and licensing in FL, KY, NC, VA, GA.
• Skills: Proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures. Ability to adjudicate lost time claims across multiple jurisdictions and adapt quickly to various software programs.
• Technical Competencies: Strong grasp of claims principles, practices, and insurance coverage interpretation. Capable of problem-solving, fostering relationships, and collaborating to deliver impactful solutions and a world-class client experience.

About Us

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

We emphasize building a best-in-class culture through empowering employees, honest and caring actions, clear communication, meaningful client relationships, and contributing to organizational success.

Benefits

• Paid Parental Leave and supportive New Parent Benefits
• Company-paid Continuing Education & Tuition Reimbursement
• 401k Profit Sharing
• Generous time off practices and paid holidays
• Support for community efforts with paid Volunteer time off and employee matching gifts
• DE&I programs, including paid Diversity Day, a Chief Diversity Officer, and DE&I committees
• Merit increases and promotion opportunities
• Discretionary bonus opportunities

The salary range for this role is $57,000–$98,000, based on education, experience, and certifications. Holmes Murphy offers a comprehensive total rewards program including bonuses, wellbeing benefits, and professional development support.