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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

Vacancy posted 5 days ago
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