WC Claims Specialist (REMOTE - MT, AZ, CO)

About the role

We are seeking a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. CRS is a leading TPA specializing in innovative claims management solutions.

Essential 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.

Qualifications

• Education: High school diploma; college degree preferred.
• Experience: 3-5 years claims experience with strong background in Workers’ Compensation claims handling.
• Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire.

Skills

• An ideal candidate will have proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures.
• The ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
• A strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements.
• The willingness to become licensed if required in jurisdiction where claims are handled.

Benefits

• Core benefits: Health, dental, and vision insurance.
• Additional benefits: Paid parental leave, supportive new parent benefits, company-paid continuing education and tuition reimbursement, 401(k) profit sharing, generous time off practices, paid volunteer time off, and employee matching gifts to charities.
• Professional development: Discretionary bonus opportunity, consistent merit increase and promotion opportunities, and inclusion and belonging programs.

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.

Schedule

N/A

Benefits

• Health, dental, and vision insurance.
• Paid parental leave and supportive new parent benefits.
• Company-paid continuing education and tuition reimbursement.
• 401(k) profit sharing.
• Generous time off practices in addition to paid holidays.
• Paid volunteer time off and employee matching gifts to charities.
• Inclusion and belonging programs: Uniquely United Committee, Employee Resource Groups, and development programs.
• Discretionary bonus opportunity.
• Consistent merit increase and promotion opportunities.