Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)

Holmes Murphy Insurance•West Des Moines, CT

36d•$57,500 - $98,900•Remote

About The Position

Creative Risk Solutions (CRS), a line of business under Holmes Murphy, is a Third-Party Administrator (TPA) specializing in innovative claims management solutions. CRS empowers its team to deliver exceptional service, embrace creativity, and make a real impact for clients. This role involves handling workers' compensation claims, with a specific requirement for experience in Maine, Connecticut, and New Jersey.

Requirements

High school diploma; college degree preferred.
3-5 years claims experience with strong background in Workers’ Compensation claims handling.
Prior experience handling Maine, Connecticut, and New Jersey claims is required.
Proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures.
Ability to adjudicate lost time claims across multiple jurisdictions.
Capacity to quickly learn and adapt to various software programs.
Strong grasp of claims principles, practices, and insurance coverage interpretation.
Ability to contribute to workflows and adhere to compliance requirements.
Prioritize problem-solving.
Actively foster relationships.
Collaborate to deliver impactful solutions and a world-class client experience.

Nice To Haves

Technical designations encouraged, such as AIC and CPCU.
Active Maine, Connecticut, and/or New Jersey Workers' Compensation License required or the ability to acquire license within three months of hire.

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 between the insured and the insurance company, researching coverage issues with minimal support.
Enters and maintains accurate information on 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 claims handling process within CRS.
Willingness to become licensed if required in jurisdiction where claims are handled.

Benefits

Health insurance
Dental insurance
Vision insurance
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
Paid Volunteer time off
Employee matching gifts to charities
DE&I programs (Diversity Day time off, Chief Diversity Officer, DE&I project team, committee, and interest group)
Consistent merit increase and promotion opportunities
Discretionary bonus opportunity
Health Matters Day
Celebrate Day (for your birthday!)
Diversity Day
Volunteer Time Off
Paid parental leave