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

HMA Group Holdings, LLC; West Des Moines (IA); Hybrid; USD 57,500 - 98,900; Full time

Benefits offered by this job

Health, dental, and vision coverage

Paid parental leave

Tuition reimbursement

401(k) profit-sharing

Paid holidays and vacation

Volunteer time off

DE&I programs

Job summary

Holmes Murphy & Associates’ Creative Risk Solutions division seeks a Workers’ Compensation Claims Specialist to handle claims across multiple jurisdictions in a timely, accurate manner. You will manage information flow from insureds and claimants, investigate complex lost‑time claims, and coordinate with carriers as needed.

The role emphasizes licensure readiness across applicable states and the use of various claims systems, with a focus on consistency and professional service.

Qualifications

• 3–5 years of workers’ compensation claims handling experience.
• Active Maine, Connecticut, and/or New Jersey Workers’ Compensation License or the ability to acquire within three months of hire.
• High school diploma; college degree preferred; AIC and CPCU encouraged.

Responsibilities

• Receive, gather, and transmit workers’ compensation information to the company from insureds, claimants, and internal staff in a timely manner.
• Investigate, evaluate, and resolve lost‑time workers’ compensation claims, including litigated claims.
• Mediates situations between the insured and the insurance company with minimal supervisory support, researching coverage issues as needed.
• Enter and maintain accurate information on the company computer system throughout the claim process, including final settlement details.
• Generate daily checks for indemnity and medical payments.
• Develop and monitor consistency in procedural matters of the claims‑handling process within CRS.
• Show willingness to become licensed in the jurisdiction where claims are handled.

Skills

Workers’ compensation knowledge

Lost-time claims adjudication

Multijurisdiction experience

Software proficiency

Relationship building

Education

High school diploma

AIC/CPCU encouraged

Tools

Insurance software

Claims processing systems

Job description

Workers’ Compensation Claims Specialist

Creative Risk Solutions (CRS), a line of business under Holmes Murphy, seeks a dedicated Workers’ Compensation Claims Specialist to manage claims in Maine, Connecticut, and New Jersey.

Responsibilities

• Receive, gather, and accurately transmit workers’ compensation information to the company from insureds, claimants, and internal staff in a timely manner.
• Investigate, evaluate, and resolve lost‑time Workers’ Compensation claims, including litigated claims.
• Mediates situations between the insured and the insurance company with minimal supervisory support, researching coverage issues as needed.
• Enter and maintain accurate information on the company computer system throughout the claim process, including final settlement details.
• Generate daily checks for indemnity and medical payments.
• Develop and monitor consistency in procedural matters of the claims‑handling process within CRS.
• Show willingness to become licensed in the jurisdiction where claims are handled.

Qualifications

• Education: High school diploma; college degree preferred. Technical designations such as AIC and CPCU encouraged.
• Experience: 3‑5 years of claims experience with a strong background in Workers’ Compensation claims handling; prior experience with 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 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 of various software programs; strong problem‑solving and relationship‑building abilities.

Benefits

• Health, dental, and vision coverage.
• Paid parental leave and new‑parent benefits.
• Company‑paid continuing education and tuition reimbursement.
• 401(k) profit‑sharing contribution from Holmes Murphy.
• Generous time off including paid holidays and encouraged vacation use.
• Paid volunteer time off and employee matching gifts to charities.
• DE&I programs, including a paid Diversity Day and a dedicated diversity leadership team.
• Consistent merit increases and promotion opportunities.
• Annual discretionary bonus opportunity.

Salary Range: $57,500–$98,900, based on education, experience, and certifications.

Holmes Murphy & Associates is an Equal Opportunity Employer.