Workers Compensation Claims Specialist
HMA Group Holdings, LLC
Overview Creative Risk Solutions (CRS), part of the Holmes Murphy umbrella, specializes in third‑party claims management solutions. We are hiring a Workers’ Compensation Claims Specialist to handle claims in Florida and Kentucky. Responsibilities Receive, gather, and accurately transmit workers’ compensation information to the company from communications with the insured, claimants, and internal staff promptly. 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 a computer system throughout the claim process, including final settlement data. Generate checks for indemnity and medical payments daily. Develop and monitor consistency in procedural matters of the claims handling process within CRS. Show willingness to become licensed when required in the jurisdiction where claims are handled. Qualifications Education: High school diploma required; college degree preferred. Technical designations: AIC and CPCU encouraged. Experience: 3–5 years of claims experience with a strong background in workers’ compensation, including FL and KY claims. Licensing: Active Florida and/or Kentucky Workers Compensation license required or 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 learner of various software programs. Technical Competencies Strong grasp of claims principles, practices, and insurance coverage interpretation. Ability to contribute to workflows and adhere to compliance requirements. Prioritizes problem solving, fosters relationships, and collaborates to deliver client solutions. Benefits Health, dental, and vision coverage. Paid parental leave. Continuing education and tuition reimbursement. 401(k) profit sharing. Generous time‑off policies. Paid volunteer time off and employee matching gifts to charities. EEO Statement Holmes Murphy & Associates is an Equal Opportunity Employer. #J-18808-Ljbffr
- ...Holmes Murphy, Creative Risk Solutions, seeks a Workers’ Compensation Claims Specialist to support clients remotely across AZ, CO, WV, SD and in West Des Moines. You will handle claims information, investigate and resolve lost time claims, and liaise with insured and insurers...SuggestedRemote work
$57.5k - $98.9k
Job Overview Step into a role where your client service expertise makes a meaningful impact as a Workers’ Compensation Claims Specialist on the Creative Risk Solutions team. Essential Responsibilities Receives, gathers, and accurately transmits workers’ compensation information...SuggestedWork experience placement- ...Creative Risk Solutions is seeking a Workers’ Compensation Claims Specialist to support our clients remotely across ME, CT, and NJ. You’ll handle lost-time claims, gather data from insureds and claimants, and work with the insurer to resolve coverage issues. The role...SuggestedRemote work
- Holmes Murphy, through Creative Risk Solutions, seeks a Workers’ Compensation Claims Specialist to join our team in the Des Moines area. You will gather information, investigate lost-time claims, and help resolve coverage issues across jurisdictions while maintaining accurate...Suggested
- ## 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
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...identifying opportunities and concerns. Calculate rates utilizing company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula. Maintain accurate book management details,...Contract workFor contractorsWork at officeLocal area- ...measurable outcomes. Drive continuous improvement in all processes, including submission intake, underwriting workflow, communications, and claims engagement. Operational Excellence: Meet deadlines, manage multiple concurrent initiatives, and operate effectively in a dynamic,...
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