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Workers Compensation Claims Specialist

Holmes Murphy

Job Description Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, 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 Florida and Kentucky 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 leader, to include researching coverage issues. Enter and maintain 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. Prior experience handling Florida and Kentucky claims is required. Licensing: Active Florida and/or Kentucky 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 demonstrate capacity to 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; prioritizing problem‑solving, fostering relationships, and collaborating to deliver impactful solutions and a world‑class client experience. Benefits 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 including a paid Diversity Day time off option and DE&I project team, committee, and interest group. Consistent merit increase and promotion opportunities. Discretionary bonus opportunity. Holmes Murphy & Associates is an Equal Opportunity Employer. #J-18808-Ljbffr

Vacancy posted 5 hours ago
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