Workers' Compensation Claims Specialist (REMOTE - AZ, CO, WV, SD)

Creative Risk Solutions, LLC; West Des Moines (IA); Hybrid; USD 57,500 - 98,900; Full time

Benefits offered by this job

Health coverage

Dental coverage

Vision coverage

Parental leave

Tuition reimbursement

401k profit sharing

Paid holidays

Volunteer time off

Diversity programs

Merit increases

Job summary

Creative Risk Solutions, LLC is seeking a Workers’ Compensation Claims Specialist to manage end-to-end claims processes for insureds and claimants. The role emphasizes accuracy in data transmission, timely communications, and collaboration to provide a world-class client experience.

The ideal candidate has 3–5 years of workers’ compensation claims experience, strong knowledge of coverage and adjudication, and a willingness to obtain required licenses in applicable jurisdictions.

Qualifications

• Minimum high school diploma; college degree preferred.
• 3–5 years of workers’ compensation claims experience.
• Active state workers’ compensation license or ability to obtain within 3 months.

Responsibilities

• Receive and transmit workers’ compensation information from insureds, claimants, and staff.
• Investigate, evaluate, and resolve lost-time workers’ comp claims, including litigated cases.
• Mediates between insured and insurer; researches coverage issues.
• Enter and maintain claim data in the system; document final settlements.
• Generate indemnity and medical payment checks daily.
• Develop and monitor standard procedures for claims handling.

Skills

Workers’ Compensation knowledge

Claims processing procedures

Multi-jurisdiction claims

Software adaptability

Education

High school diploma

College degree preferred

Tools

Claims systems

Job description

Job Overview

Step into a role where your client service expertise makes a meaningful impact as a Workers’ Compensation Claims Specialist on the Creative Risk Solutions team.

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 between the insured and the insurance company with little to no support from leadership, researching coverage issues.
• Enters and maintains accurate information on a computer system during the claim process, including final settlement information.
• Generates checks for indemnity and medical payments daily.
• Develops and monitors consistency in procedural matters of claims handling 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

• AIC and CPCU encouraged.

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 a license within three months of hire.

Skills

• Proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures.
• Ability to adjudicate lost-time claims across multiple jurisdictions.
• Quick learning and adaptability to various software programs.

Technical Competencies

• Strong grasp of claims principles, practices, and insurance coverage interpretation.
• Commitment to compliance and problem solving.
• Active collaboration to deliver impactful solutions and a world-class client experience.

Benefits

• Health, dental, and vision coverage.
• Paid Parental Leave and New Parent Benefits.
• Company-paid Continuing Education & Tuition Reimbursement.
• 401(k) Profit Sharing.
• Generous time off practices in addition to paid holidays.
• Paid Volunteer Time Off and employee matching gifts to charities.
• Inclusion & Belonging Programs (Uniquely United, Diversity Day, ERGs).
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

Compensation

The salary range for this role is $57,500–$98,900. Compensation is based on several factors, including education, work experience and industry certifications.

Holmes Murphy & Associates is an Equal Opportunity Employer.