Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)

Holmes Murphy; New Jersey; On-site; USD 57,500 - 98,900; Full time

Benefits offered by this job

Paid parental leave

Education reimbursement

401k profit sharing

Generous time off

Volunteer time off

DEI programs

Merit increases

Bonus opportunity

Job summary

Creative Risk Solutions, a Holmes Murphy division, seeks a Workers’ Compensation Claims Specialist with 3–5 years of WC claims handling, especially in Maine, Connecticut, and New Jersey.

You will investigate across jurisdictions, manage claim data, and coordinate with insured and insurer. Licensing in required jurisdictions within three months may be needed; a high school diploma is required.

Qualifications

• Education: High school diploma; college degree preferred.
• 3–5 years experience in workers’ compensation claims.
• Active ME/CT/NJ WC license or ability to acquire within 3 months.
• Strong knowledge of workers’ compensation coverage and claims processing; ability to use multiple software programs.

Responsibilities

• Receives, gathers and transmits workers’ compensation information from insureds, claimants, and staff in a timely manner.
• Investigates, evaluates and resolves lost time workers’ compensation claims, including litigated claims.
• Mediates between insured and insurer, researching coverage issues with minimal supervision.
• Enters and maintains accurate information in the claims system, including final settlements.
• Generates checks for indemnity and medical payments daily.
• Develops and monitors consistency in the claims handling process within CRS.
• Willingness to become licensed if required in the jurisdiction where claims are handled.

Skills

Workers' compensation knowledge

Claims processing

Jurisdictional adjudication

Relationship building

Education

High school diploma

College degree preferred

AIC/CPCU encouraged

Job description

Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading third‑party administrator specializing in innovative claims management solutions. We believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Maine, Connecticut, and New Jersey is required.

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 a leader, including 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 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. Prior experience handling Maine, Connecticut, and New Jersey claims is required.
• Licensing: Active Maine, Connecticut, and/or New Jersey workers’ compensation license required or the ability to acquire 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 and quickly learn and adapt to various software programs.
• Technical Competencies: Strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. Prioritizes problem‑solving, fosters relationships, and collaborates 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

• Paid parental leave and supportive new parent benefits
• Company‑paid continuing education and tuition reimbursement
• 401k profit sharing
• Generous time off in addition to paid holidays
• Paid volunteer time off and employee matching gifts to charities
• DE&I programs
• 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, 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.

Holmes Murphy & Associates is an Equal Opportunity Employer.