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

Creative Risk Solutions•Paris, 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 is looking for a Workers’ Compensation Claims Specialist to join their team. The role involves handling claims in Maine, Connecticut, and New Jersey. The company emphasizes doing things differently, empowering the team to deliver exceptional service, embrace creativity, and make a real impact for clients. They also focus on building a best-in-class culture through trust, clear communication, meaningful client relationships, and contributing to organizational success.

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.
Active Maine, Connecticut, and/or New Jersey Workers' Compensation License required or the ability to acquire license within three months of hire.
Proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures.
Ability to adjudicate lost time claims across multiple jurisdictions.
Demonstrate the 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.

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.

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