Workers' Claims Specialist; Remote - MN, SD, WI, PA, IA

Workers' Compensation Claims Specialist (Remote – MN, SD, WI, PA, IA)

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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 in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients.

We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.

• Receives, gathers, and accurately transmits workers’ compensation information to the company from communications with the insured, claimants, and internal staff in a timely manner.
• Investigates, evaluates, and resolves Workers’ Compensation claims.
• Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
• Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
• Generates checks for indemnity and medical payments daily.
• Develops and monitors consistency in procedural matters of the claims handling process with CRS.
• Compiles and interprets Workers’ compensation reports on designated accounts, as requested.
• Ability to adjudicate lost time claims.
• Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
• Performs special projects and other duties as requested.

• Education:
  
  High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Licensing:
  Active state-specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state-specific licenses during duration of employment as needed.
• Experience:
  
  2-4 years claims experience with strong background in Workers’ Compensation coverage.
• Technical
  
  Competencies:
  
  Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.

• Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey!
• Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
• 401k Profit Sharing — Each year, Holmes Murphy makes a lump sum contribution to every full-time employee’s 401k.
• Generous time off practices in addition to paid holidays — Yes, we actually encourage employees to use their time off.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you.
• DE&I programs — Holmes Murphy is committed to celebrating every employee’s unique diversity, equity, and inclusion (DE&I) experience with us.
• Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities.
• Discretionary bonus opportunity — Yes, there is an annual opportunity to make more money.

Salary range: $45,800–$78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.

Holmes Murphy & Associates is an Equal Opportunity Employer.

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