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

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

Join to apply for the Workers' Compensation Claims Specialist (Remote - MN, SD, WI, PA, IA) role at Holmes Murphy

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 the 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.
• Adjudicates lost time claims.
• Participates in claim reviews and attends risk control workshops when requested by agency partners or insureds; these may 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 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:
  
  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.
• Company paid continuing education & tuition reimbursement.
• 401(k) profit sharing contribution for all full-time employees.
• Generous time off including paid holidays.
• Paid volunteer time off and employee matching gifts to charities.
• DE&I programs with paid diversity day and dedicated diversity officer.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

The salary range for this role is $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.