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

Creative Risk Solutions (CRS), a line of business under Holmes Murphy, specializes in innovative claims management solutions. They are seeking a Workers’ Compensation Claims Specialist with experience in Texas, Arkansas, Louisiana, and Oklahoma to handle claims, investigate, evaluate, and resolve workers' compensation cases.

Location: Remote (US)

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.

Requirements

• High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• 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 and demonstrate the capacity to quickly learn and adapt to various software programs.
• Strong grasp of claims principles, practices, and insurance coverage interpretation.
• Problem-solving skills, relationship building, collaboration, and adherence to compliance requirements.

Benefits

• 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 and employee matching gifts to charities.
• DE&I programs including paid Diversity Day, Chief Diversity Officer, and DE&I project team.
• Annual merit increase and promotion opportunities.
• Discretionary bonus opportunity.