Sr. Workers' Claims Specialist, Supervisor - REMOTE

Senior Workers' Compensation Claims Specialist, Supervisor - Remote at Holmes Murphy. This role provides high-quality claims handling oversight for CRS customers on litigated and complex claim situations, with jurisdictional experience across multiple states. The team member will provide guidance, oversight, and expertise for investigating, communicating, evaluating, and resolving claims in accordance with CRS Best Practices for Claim Handling. The role includes assisting staff with goals, career development, and ensuring 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; ability to contribute to workflows and adhere to compliance requirements. Prioritize problem-solving, foster relationships, and collaborate to deliver effective solutions and a world-class client experience.

The salary range for this role is $65,000–$109,000. Compensation is based on factors including education, work experience, and industry certifications. In addition to salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits, and support for professional development.

Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and a best-in-class culture, empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their potential, and contributing to the organization's success by uplifting team members.

• Paid Parental Leave and supportive New Parent Benefits — We know…