Workers' Compensation Claims Specialist
HMA Group Holdings, LLC
Overview Creative Risk Solutions (CRS), part of the Holmes Murphy group, is a leading Third‑Party Administrator (TPA) specializing in innovative claims management solutions. We are looking to add a Workers’ Compensation Claims Specialist to our team. Experience handling claims in Texas, Louisiana, Mississippi, and Arizona is required. 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 leadership support, 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 the claims handling process within CRS. Will 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 of claims experience with a strong background in Workers’ Compensation claims handling. Prior experience handling Texas, Louisiana, Mississippi, and Arizona claims is required. Licensing Active Texas, Louisiana, Mississippi, and/or Arizona 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 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, actively fosters relationships, and collaborates to deliver impactful solutions. Benefits Health, dental, and vision coverage. Paid parental leave and supportive new‑parent benefits. Company‑paid continuing education & tuition reimbursement. 401(k) profit sharing. Generous time‑off practices and paid holidays. Paid volunteer time off and employee matching gifts to charities. Inclusion & belonging programs: Uniquely United initiatives, diversity day, employee resource groups. Consistent merit increase and promotion opportunities. Discretionary bonus opportunity. Employer Statement Holmes Murphy & Associates is an Equal Opportunity Employer. #J-18808-Ljbffr HMA Group Holdings, LLC
- ## Workers' Compensation Claims Specialist**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...SuggestedFull time
$45.8k - $78.8k
...the Holmes Murphy umbrella, is a leading Third‑Party Administrator specializing in innovative claims management solutions. CRS is seeking a Workers’ Compensation Claims Specialist. Essential Responsibilities Receives, gathers, and accurately transmits workers’...SuggestedRemote job- A leading claims management firm is seeking a Workers' Compensation Claims Specialist for a remote position that requires handling claims across several states. This role involves managing communication with insureds and claimants, investigating claims, and ensuring accurate...SuggestedRemote work
$62.4k - $93.6k
...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company that goes... ...theirs, too. Join our team as we help shape the future. The Workers’ Compensation Senior Claim Representative is accountable for planning,...SuggestedTemporary workRemote workMonday to Friday3 days per week$80k - $90k
...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements...SuggestedRemote workFlexible hours- BITCO Insurance Companies is seeking a Sr. Claims Specialist for Workers’ Compensation to join their team in Des Moines, IA. This role involves overseeing the complete claim lifecycle, ensuring timely and effective handling, and maintaining compliance with regulations....Remote jobFlexible hours
- HMA Group Holdings, LLC is seeking a Workers’ Compensation Claims Specialist to manage claims primarily in Florida and Kentucky. Ideal candidates have 3-5 years of experience in workers' compensation claims, with proficiency in the relevant insurance coverage. Responsibilities...
- Creative Risk Solutions, LLC is seeking a Workers’ Compensation Claims Specialist to join their team in West Des Moines, Iowa. The role involves gathering information, investigating claims, and ensuring accurate processing of Workers' Compensation claims. The candidate...
$45.8k - $78.8k
A leading third-party administrator is seeking a Workers’ Compensation Claims Specialist for a remote role serving regions including Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa. Candidates should have 2-4 years of claims experience, particularly in Workers...Remote work$51.78k - $65k
Sedgwick is seeking a Claims Representative in Des Moines, IA, to process low-level workers compensation claims, ensuring compliance with company standards. This role requires a high school diploma, and prior claims management experience is preferred. Ideal candidates...Remote jobFlexible hours- A leading claims management company is seeking a Claims Examiner for a remote role in the United States. The ideal candidate should have at least 5 years of claims management experience and a strong ability to analyze and negotiate claims. Responsibilities include processing...Remote jobFlexible hours
$80k - $110k
...Job Description Job Description Our client, an A-rated Insurance Carrier, is seeking to add a Senior Workers' Compensation Claims Examiner to their Midwest team. This would be a fully remote position. Duties will consist of handling mid to complex Workers' Compensation...Remote jobFlexible hours$50k - $65k
...working in-office every Wednesday to foster collaboration. Job Summary We are seeking an experienced and highly skilled Workers' Compensation Claim Adjuster to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years...Work at officeRemote workMonday to Friday- ...Chief Deputy Workers' Compensation Commissioner Shape the future of Iowa's workers' compensation system This role is an opportunity to... ...plays a vital role in ensuring fair and efficient resolution of claims that impact workers, employers, and communities across the...Work at office
$86.4k - $129.6k
...Team Leader Claims - CH08AE We’re determined to make a difference and are proud to be an insurance company that goes well beyond... ..., too. Join our team as we help shape the future. The Workers' Compensation department is currently hiring for a Claims Plus Team Leader...Temporary workCurrently hiringWork at officeRemote work3 days per week- ...passionate about advocating for injured workers and values working in a collaborative, team... .... Responsibilities Manage workers’ compensation cases from intake through resolution Represent... ...and supporting legal documents Evaluate claims, negotiate settlements, and develop...
- ...What if your next legal role wasn’t just about cases but about shaping how an entire system works? Chief Deputy Workers’ Compensation Commissioner The State of Iowa is hiring a Chief Deputy Workers’ Compensation Commissioner , a leadership role with the opportunity to...
- The State of Iowa seeks a Chief Deputy Workers’ Compensation Commissioner in Des Moines. This role involves shaping the future of the workers' compensation system, leading a judicial team, and influencing policy and process improvements. As a leader, you will manage case...
- Sedgwick is looking for a Claims Examiner specializing in Workers Compensation in Des Moines, Iowa. The role involves analyzing claims, ensuring timely resolutions, and communicating effectively with clients and claimants. Candidates should have a minimum of a high school...Remote jobFlexible hours
- ...Sedgwick is seeking a Claims Representative (IAP) for their Workers Compensation Training Program in West Des Moines, IA. This entry-level role involves participation in a 6-week professional training program to develop necessary skills for analyzing claims and determining...Traineeship
$59.68k - $96.12k
...Job Description Job Description The Senior Claims Indemnity Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements...Minimum wageFull timeLocal areaRemote workFlexible hours- ...opportunity employer. Responsibilities As a Casualty Claims Litigation Specialist , you will investigate and handle high severity and/or... ...to impact change. Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs...Full timeWork at officeLocal areaImmediate startRemote workHome office
$63.4k - $85k
...Claims Examiner - Workers Compensation (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Are You an Ideal Candidate...Remote workFlexible hours- Sr. Claims Specialist, Workers’ Compensation - Des Moines, IA BITCO Corporation is seeking a Sr. Claims Specialist, Workers’ Compensation to join our branch office located in Des Moines, IA. As a respected specialty insurer with 11 branch offices across 10 states, BITCO...Temporary workWork at officeRemote workFlexible hoursNight shift
- ...craftsmanship, and a commitment to excellence, we want you to be a part of our success story! Why Us: Competitive Compensation: Your skills deserve recognition. Enjoy a competitive salary and benefits package that reflects your expertise and dedication....For subcontractorImmediate start
- Sedgwick is looking for a Claims Adjuster for Workers Comp in Des Moines, Iowa. The role entails managing compensation claims, coordinating return-to-work efforts, and maintaining professional client relationships. The ideal candidate will possess 4 years of claims management...Flexible hours
- A leading service provider in claims management is seeking experienced Claims Adjusters to work remotely. Ideal candidates will have... ...that values empathy and partnership, and enjoy a competitive compensation package including various benefits. #J-18808-Ljbffr Arthur J....Remote job
- HMA Group Holdings, LLC is seeking a Workers’ Compensation Claims Specialist to manage and resolve claims efficiently across various states, including Texas and Louisiana. The ideal candidate has 3-5 years of relevant experience, with a focus on Workers’ Compensation claims...
$132.8k - $219.1k
...loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this... ...bench strength. Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of the following:...Local area$100k - $125k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary... ...As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay...Work at officeLocal areaRemote workFlexible hours
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