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

Job Description

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.

The salary range for this role is $45,800–$78,800. Compensation is based on factors including education, work experience, and industry certifications. Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits, and support for professional development.

• 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 support from a leader as needed, including researching coverage issues.
• Enters and maintains accurate information in a computer system during the claim process, including 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 such as AIC and CPCU encouraged.
• Licensing:
  Active state-specific Workers Compensation License required or the ability to acquire one within three months of hire. Willingness and ability to obtain additional state-specific licenses during employment as needed.
• Experience:
  
  2–4 years of claims experience with a strong background in workers’ compensation coverage.
• Technical
  
  Competencies:
  
  Understanding and application of claims principles and practices, and insurance coverage interpretation related to consulting, evaluating, and resolving claims.

• Paid Parental Leave.
• Company-paid continuing education and tuition reimbursement.
• 401(k) profit sharing.
• Generous time off practices in addition to paid holidays.
• Paid volunteer time off and employee matching gifts to charities.
• DE&I programs, including a paid Diversity Day.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

Holmes Murphy & Associates is an Equal Opportunity Employer.