Workers' Compensation Claims Specialist (Remote - MN, SD, WI, PA, IA)

About the role

Creative Risk Solutions (CRS) is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. We are seeking a Workers’ Compensation Claims Specialist to join our dynamic team.

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 Workers’ Compensation claims.
• Mediates situations as they arise between the insured and the insurance company, with some support from leadership as needed, 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 the claims handling process with CRS.
• Compiles and interprets Workers’ compensation reports on designated accounts, as requested.
• Ability to adjudicate lost time claims.
• Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
• Performs special projects and other duties as requested.

Qualifications

• Education: High school diploma; college degree preferred.
• Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
• Experience: 2-4 years claims experience with strong background in Workers’ Compensation coverage.
• Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.

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
• Discretionary bonus opportunity
• Annual merit increase and promotion opportunities
• Consistent DE&I programs

Pay

The salary range for this role is $45,800– $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications.

Schedule

Details on the schedule will be provided upon hiring.