Overview
Senior Workers' Compensation Claims Specialist, Supervisor - Remote at Holmes Murphy. This role provides high-quality claims handling oversight for CRS customers on litigated and complex claim situations, with jurisdictional experience across multiple states. The team member will provide guidance, oversight, and expertise for investigating, communicating, evaluating, and resolving claims in accordance with CRS Best Practices for Claim Handling. The role includes assisting staff with goals, career development, and ensuring engagement.
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 : A strong grasp of claims principles, practices, and insurance coverage interpretation; ability to contribute to workflows and adhere to compliance requirements. Prioritize problem-solving, foster relationships, and collaborate to deliver effective solutions and a world-class client experience.Salary and Benefits
The salary range for this role is $65,000–$109,000. Compensation is based on factors including 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.
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 a best-in-class culture, empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their potential, and contributing to the organization's success by uplifting team members.
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 employee's 401k. This means, even if you're 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.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 to make an impact.DEI programs — Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion experience, including paid Diversity Day time off and access to a Chief Diversity Officer and a DEI project team.Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities.Discretionary bonus opportunity — There is an annual opportunity to earn more.Location : Remote (MD, NC, TN, GA, KY)
Job Details
Seniority level : Mid-Senior levelEmployment type : Full-timeJob function : Human ResourcesIndustries : InsuranceJ-18808-Ljbffr