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. Creative Risk Solutions (CRS) is a leading Third-Party Administrator (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 capacity to prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.

Benefits

• 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.
• Paid Volunteer time off and employee matching gifts to charities that are important to you.
• Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
• Annual bonuses, total wellbeing benefits and support for professional development.

Pay

$57,500– $98,900. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications.

Schedule

N/A