Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)
$57.5k - $98.9kHMA Group Holdings, LLC
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.
#J-18808-LjbffrVacancy posted 4 days ago
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