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Workers' Compensation Claims Specialist, Risk Management Expert
2 months ago
Creative Risk Solutions, a division of Holmes Murphy, is dedicated to fostering a work environment that promotes growth, appreciation, and dedication. We believe that when our employees feel valued, they are better equipped to contribute to the success of our clients and our company.
About the RoleWe are seeking a dynamic Workers' Compensation Claims Specialist who thrives in a collaborative environment and has strong interpersonal communication skills. This role involves servicing captive and self-insured accounts and requires telecommuting. The ideal candidate will have jurisdictional experience in IA, IL, IN, KS, and MO.
Key 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 Workers' Compensation claims.
- Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
- Generates checks for medical payments daily.
- Compiles and interprets Workers' compensation reports on designated accounts, as requested.
- Participates in claim reviews and attending Risk Control Workshops when requested by agency partners or insureds.
- Ability to handle multiple jurisdictions of medical workers' compensation claims.
- Develops and monitors consistency in procedural matters of the claims handling process with CRS.
- Knowledge of Workers' Compensation insurance coverage and the ability to apply that knowledge in the performance of the job duties.
- Skillful knowledge of claims processing procedures.
- Ability to work with persons under adverse or highly emotional conditions.
- Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
- Ability to become licensed if required in jurisdiction where claims are handled.
- Must be knowledgeable of and comply with HMA's Client Privacy Policy, HIPAA regulations, and E&O procedures and policies.
- Education: High School education with college preferred.
- Experience: 1-2 years' claims experience with strong background in Workers' Compensation coverage.
- 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.
Holmes Murphy & Associates is an Equal Opportunity Employer.
