Workers’ Compensation Claims Specialist (FL, KY) REMOTE

Creative Risk Solutions • West Des Moines, FL

1d • Remote

About The Position

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 Florida and Kentucky is required. Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. At Creative Risk Solutions, we don’t settle for the status quo. We solve problems, build relationships, and take pride in doing the right thing (even when it’s the hard thing). If you're passionate about helping people, being part of something bigger, and bringing your best every day, we just might be your team. At CRS, we invest in curious minds and committed teammates. Through hands-on learning, mentorship, and ongoing development opportunities, we support your growth, wherever it leads. This is a place where you can shape your role and make your mark. We believe great work should be recognized and rewarded. Our 401(k)-profit share is one of the ways we celebrate wins, shared with all employees, no matter where you are in your journey. We take time off seriously. From Celebrate Day (your birthday!) to Volunteer Time Off, Health Matters Day, and paid parental leave, we make space for life beyond the office, because balance fuels our best work. Strong relationships drive strong results. That’s why we put people first, clients and coworkers alike. At CRS, our culture is rooted in respect, collaboration, and real connection. We believe a supportive team makes all the difference, and we work hard to make sure every employee feels that every day. Join us and discover why there really is no place like CRS!

Requirements

• High school diploma; college degree preferred.
• 3-5 years claims experience with strong background in Workers’ Compensation claims handling.
• Prior experience handling Florida and Kentucky claims is required.
• Active Florida and/or Kentucky Workers Compensation License required or the ability to acquire license within three months of hire.
• 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.
• 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.

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

• In addition to core benefits like health, dental and vision, also enjoy benefits such as:
• 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
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you
• DE&I programs
• Consistent merit increase and promotion opportunities
• Discretionary bonus opportunity

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED