Job Details

Sr. Workers' Compensation Claims Specialist, Supervisor - REMOTE

Holmes Murphy

Overview

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. This includes assisting staff with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement.

Essential Responsibilities

• 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.

Management Responsibilities

• 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.
• Coordinate training and maintain standardized processes for quality service.
• Facilitate regular team meetings and attend enterprise and leadership training.

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.
• Review all files at least every 90 days.

Qualifications

• 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 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.
• Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.

About Creative Risk Solutions

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, building trust, ensuring clear communication, and forming meaningful client relationships.

Benefits

• Paid Parental Leave and supportive New Parent Benefits We know being a working parent is hard, and we want to support our employees in this journey!
• Company paid continuing Education & Tuition Reimbursement We support those who want to develop and grow.
• 401k Profit Sharing Each year, Holmes Murphy makes a lump sum contribution to every full-time employees 401k. This means, even if youre not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
• Generous time off practices in addition to paid holidays Yes, we actually encourage employees to use their time off, and they do.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
• DE&I programs Holmes Murphy is committed to celebrating every employees unique diversity, equity, and inclusion (DEI) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
• Consistent merit increase and promotion opportunities Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important not only with your financial wellbeing, but also your career wellbeing.
• Discretionary bonus opportunity Yes, there is an annual opportunity to make more money.

Salary range: $65,000$109,000. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.

Location

Remote

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Human Resources

Industries

• Insurance