Workers’ Claims Specialist; FL, KY REMOTE

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 Florida and Kentucky is required.

• 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 lost time Workers’ Compensation claims, including litigated claims.
• Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
• Enter and maintain 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 claims handling process within CRS.
• Willingness to become licensed if required in jurisdiction where claims are handled.

• Education:
  
  High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Experience:
  
  3-5 years claims experience with strong background in Workers’ Compensation claims handling. Prior experience handling Florida and Kentucky claims is required.
• Licensing:
  Active Florida and/or Kentucky Workers Compensation License required or the ability to acquire license within three months of hire.
• Skills:
  
  Proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures; ability to adjudicate lost time claims across multiple jurisdictions and demonstrate capacity to quickly learn and adapt to various software programs.
• Technical
  
  Competencies:
  
  Strong grasp of claims principles, practices, and insurance coverage interpretation; contributing to workflows and adhering to compliance requirements; prioritizing problem‑solving, fostering relationships, and collaborating to 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.
• Generous time off practices in addition to paid holidays.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities.
• DE&I programs including a paid Diversity Day time off option and DE&I project team, committee, and interest group.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

Holmes Murphy & Associates is an Equal Opportunity Employer.