Workers' Claims Specialist - Mideast

We’re looking for an experienced, solutions-driven professional to join our team as a Workers’ Compensation Claims Specialist at Creative Risk Solutions. If you have claims expertise in IL, MI, IN, and MD, and a passion for delivering exceptional service, this could be your next move. Bring your knowledge, initiative, and collaborative spirit, we’ll bring the opportunity.

• 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.
• 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 claims handling process within CRS.
• Willingness to become licensed if required in jurisdiction where claims are handled.

Qualifications:

• 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.
• Licensing:
  Active state specific workers' compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in IL, MI, IN, MD.
• Skills:
  
  An ideal candidate will have proficient knowledge of workers’ compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
• Technical
  
  Competencies:
  
  An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.

Here’s a little bit about us:

We’re looking for an experienced, solutions-driven professional to join our team as a Workers’ Compensation Claims Specialist at Creative Risk Solutions. If you have claims expertise in IL, MI, IN, and MD, and a passion for delivering exceptional service, this could be your next move. Bring your knowledge, initiative, and collaborative spirit, we’ll bring the opportunity.

Essential Responsibilities:

• 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.
• 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 claims handling process within CRS.
• Willingness to become licensed if required in jurisdiction where claims are handled.

Qualifications:

• 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.
• Licensing:
  Active state specific workers' compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in IL, MI, IN, MD.
• Ski…