Creative Risk Solutions (CRS) · 3 months ago
Sr. Workers' Compensation Claims Specialist, Supervisor - REMOTE
United States
Full-time
Remote
Mid, Senior Level
$65K/yr - $109K/yr
5+ years expCreative Risk Solutions is a leading provider of innovative risk management solutions. They are seeking a Sr. Workers’ Compensation Claims Specialist, Supervisor to oversee claims handling and provide expertise on complex claims situations while managing and coaching the claims team.
InsuranceProperty ManagementRisk Management
Responsibilities
Adjudicate claims during staffing shortages, investigate, and negotiate settlements per 'Best Practices for Claims.'
Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed
Research and respond to questions and complaints from insureds, claimants, agency partners, and fronting carriers
Discuss complex claims and coverage issues with clients, addressing any inquiries
Maintain communication with customers and fronting carriers per 'CRS Communication Expectations' and 'Reportable' file guidelines
Assist staff in managing litigation claims, ensuring timely responses and protecting the interests of insured and carriers
Ensure appropriate staffing, including hiring and terminations
Coach team members on workflow, processes, customer service, and client consulting
Conduct performance reviews, set goals, and hold employees accountable
Foster career development and manage timesheets and compensation decisions
Coordinate training and maintain standardized processes for quality service
Facilitate regular team meetings and attend enterprise and leadership training
Conduct monthly performance meetings and quarterly team meetings
Set and monitor annual goals for staff
Participate in round tables, claim reviews, and Risk Control Workshops
Mediate between insured and insurance company, addressing coverage issues and large loss reporting
Analyze performance data to implement necessary changes
Review all files at least every 90 days
Qualification
Required
High school diploma; college degree preferred
5+ years of adjusting property and casualty claims, including litigated claims
Active state specific Workers Compensation License required or the ability to acquire license within three months of hire
Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties
Proficient in claims processing procedures
Knowledge or ability to learn multiple state insurance regulations; pass state licensing exams
Strong grasp of claims principles, practices, and insurance coverage interpretation
Ability to prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions
Preferred
Technical designations encouraged, such as AIC and CPCU
Prior agency, loss control or carrier experience preferred
Prior supervisory experience preferred
Benefits
Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
401k Profit Sharing — Each year, Holmes Murphy makes a lump sum contribution to every full-time employee’s 401k. This means, even if you’re not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays — Yes, we actually encourage employees to use their time off, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you — Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs — Holmes Murphy is committed to celebrating every employee’s unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity — Yes, there is an annual opportunity to make more money. Who doesn’t love that?!
Company
Creative Risk Solutions (CRS)
At Creative Risk Solutions, our goal is to provide the best people, services, products, and systems to produce a measurable, positive impact on your bottom line.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase