Sr. Workers' Claims Specialist, Supervisor - REMOTE

Sr. Workers’ Compensation Claims Specialist, Supervisor is a remote role with Holmes Murphy’s Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states and will provide high-quality claims handling oversight for litigated and complex claims, assist staff with investigations, communications, evaluations, and resolutions, and support staff development and engagement.

• Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.”
• Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed.
• Research and respond to questions and complaints from insureds, claimants, agency partners, and fronting carriers.
• Discuss complex claims and coverage issues with clients, addressing any inquiries.
• Maintain communication with customers and fronting carriers per “CRS Communication Expectations” and “Reportable” file guidelines.
• Assist staff in managing litigation claims, ensuring timely responses and protecting the interests of insured and carriers.

• Ensure appropriate staffing, including hiring and terminations.
• Coach team members on workflow, processes, customer service, and client consulting.
• Conduct performance reviews, set goals, and hold employees accountable.
• Foster career development and manage timesheets and compensation decisions.
• Coordinate training and maintain standardized processes for quality service.
• Facilitate regular team meetings and attend enterprise and leadership training.

• Conduct monthly performance meetings and quarterly team meetings.
• Set and monitor annual goals for staff.
• Participate in round tables, claim reviews, and Risk Control Workshops.
• Mediate between insured and insurance company, addressing coverage issues and large loss reporting.
• Analyze performance data to implement necessary changes.
• Review all files at least every 90 days.

• Education:
  
  High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Experience:
  
  5+ years of adjusting property and casualty claims, including litigated claims. Prior agency, loss control or carrier experience preferred. Prior supervisory experience preferred.
• Licensing:
  Active state specific Workers Compensation License required or the ability to acquire license within three months of hire.
• Skills:
  
  Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties, proficient in claims processing procedures, knowledge or ability to learn multiple state insurance regulations; pass state licensing exams.
• Technical
  
  Competencies:
  
  A strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. Prioritize problem-solving, actively foster relationships, and deliver impactful solutions and a world-class client experience.

• Paid Parental Leave and supportive New Parent Benefits.
• Company paid continuing Education & Tuition Reimbursement.
• 401k Profit Sharing — Holmes Murphy makes a lump sum contribution to every full-time employee’s 401k.
• Generous time off practices in addition to paid holidays.
• Volunteer time off and employee matching gifts through the Holmes Murphy Foundation.
• DE&I programs and related opportunities, including paid Diversity Day and a Chief Diversity Officer.
• Consistent merit increases and promotion opportunities.
• Discretionary bonus opportunity.
• Compensation:
  Salary range $65,000–$109,000 plus a comprehensive total rewards program.

Remote position