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Workers' Compensation Claims Specialist (Remote - MN, SD, WI, PA, IA)

$45.8k - $78.8k

Creative Risk Solutions, LLC

Job Overview Creative Risk Solutions (CRS), a line of business under 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’ compensation information to the company from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves Workers’ Compensation claims. Mediates situations between the insured and the insurance company, 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 the claims handling process with CRS. Compiles and interprets Workers’ compensation reports on designated accounts as requested. Adjudicates lost time claims. Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds, either in person or by phone. Performs special projects and other duties as requested. Qualifications Education: High school diploma required; college degree preferred. Technical designations such as AIC and CPCU are encouraged. Licensing: Active state‑specific Workers Compensation License required or ability to acquire one within three months of hire. Willingness to obtain additional state‑specific licenses as needed. Experience: 2–4 years claims experience with a strong background in Workers’ Compensation coverage. Technical Competencies: In-depth understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Benefits Competitive compensation with a salary range of $45,800–$78,800. Health, dental, and vision insurance. Paid parental leave and supportive new parent benefits. Company‑paid continuing education and tuition reimbursement. 401k profit sharing. Generous time‑off practices in addition to paid holidays. Paid volunteer time off and employee matching gifts to charities. DE&I programs, including paid Diversity Day time off, a Chief Diversity Officer, and a diversity committee. Consistent merit increase and promotion opportunities. Discretionary bonus opportunity. Comprehensive total rewards program including annual bonuses, total wellbeing benefits, and professional development support. Equal Opportunity Statement Holmes Murphy & Associates is an Equal Opportunity Employer. #J-18808-Ljbffr Creative Risk Solutions, LLC

Vacancy posted 22 hours ago
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