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.
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 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.
Qualifications:
- 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. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here’s a little bit about us:
At Creative Risk Solutions, you’ll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.