Workers' Compensation Claims Specialist (REMOTE - TX, AR, LA, OK)

Holmes Murphy Insurance•Oklahoma City, TX

6d•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 requires experience handling claims in Texas, Arkansas, Louisiana, and Oklahoma. The specialist will receive, gather, and transmit workers’ compensation information, investigate, evaluate, and resolve lost time Workers’ Compensation claims (including litigated claims), and mediate situations between the insured and insurance company with minimal support. They will also maintain accurate computer system information, generate checks for indemnity and medical payments, and develop and monitor consistency in claims handling procedures. A willingness to become licensed in relevant jurisdictions is also required.

Requirements

High school diploma; college degree preferred.
3-5 years claims experience with strong background in Workers’ Compensation claims handling.
Prior experience handling Texas, Arkansas, Louisiana, and Oklahoma claims is required.
Active Texas, Arkansas, Louisiana, and/or Oklahoma 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.
Demonstrated 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, dental and 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 (paid Diversity Day time off option, Chief Diversity Officer, DE&I project team, committee, and interest group)
Consistent merit increase and promotion opportunities
Discretionary bonus opportunity