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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

Vacancy posted 20 hours ago
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