WC Claims Specialist (Remote - ME, CT, NJ)

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.

About the role

We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Maine, Connecticut, and New Jersey is required.

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

• 3-5 years claims experience with strong background in Workers’ Compensation claims handling.
• Prior experience handling Maine, Connecticut, and New Jersey claims is required.
• Active Maine, Connecticut, and/or New Jersey Workers' Compensation License required or the ability to acquire license within three months of hire.

Qualifications

• Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
• Proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures.
• Ability to adjudicate lost time claims across multiple jurisdictions.
• Capacity to quickly learn and adapt to various software programs.
• 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.

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.

Benefits

• Health, dental, and vision benefits.
• Paid Parental Leave and supportive New Parent Benefits.
• Company paid continuing Education & Tuition Reimbursement.
• 401k Profit Sharing (lump sum contribution to every full-time employee’s 401k, even if not contributing personally).
• Generous time off practices in addition to paid holidays.
• Paid Volunteer time off and employee matching gifts to charities.
• DE&I programs, including a paid Diversity Day time off option, Chief Diversity Officer, and DE&I project team, committee, and interest group.
• Consistent merit increase and promotion opportunities.
• Discretionary bonus opportunity.

Pay

The salary range for this role is $57,500–$98,900. 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.