Sr. Workers' Compensation Claims Specialist, Supervisor (REMOTE)

About the role

We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states. This team member will provide high-quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations, including assisting staff with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Additionally, this role involves assisting claim staff with goals, career pathing, and ensuring engagement.

Responsibilities

Claims Management

• 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.
• Review all files at least every 90 days.

Management Responsibilities

• Team Leadership:
  • 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.
• Team Coordination:
  • Facilitate regular team meetings and attend enterprise and leadership training.
  • Coordinate training and maintain standardized processes for quality service.
  • Provide backup assistance as needed.

Additional Responsibilities

• 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.

Requirements

• Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Experience: 5+ years of adjusting property and casualty claims, including litigated claims. Prior agency, loss control, or carrier experience preferred. Prior supervisory experience preferred.
• Licensing: Active state-specific Workers Compensation License required or the ability to acquire the license within three months of hire.

Skills

• 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.
• Prioritizes problem-solving, actively fosters relationships, and collaborates to deliver impactful solutions and a world-class client experience.

About Us

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. We place a high emphasis on building a best-in-class culture by empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships, and contributing to the organization's success by effectively influencing and uplifting team members.

Benefits

• Core benefits: health, dental, and vision.
• Paid Parental Leave and supportive New Parent Benefits.
• Company-paid continuing Education & Tuition Reimbursement.
• 401k Profit Sharing: Annual lump-sum contribution to every full-time employee’s 401k, even if the employee does not contribute.
• Generous time off practices in addition to paid holidays.
• Paid Volunteer time off and employee matching gifts to charities.
• Inclusion & Belonging Programs, including a paid Diversity Day time-off option, Uniquely United Committee, Employee Resource Groups, and development programs.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

Pay

The salary range for this role is $75,000–$125,000. Compensation is based on several factors, including, but not limited to, education, work experience, and industry certifications. In addition to salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits, and support for professional development.