Job Description:
We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. Creative Risk Solutions, a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients.
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.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers’ Compensation claims handling in the states of West Virginia, Iowa, Maryland and Montana.
· 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. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· 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.
Here’s a little bit 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 creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· 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, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first.
· 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 employee’s unique diversity, equity, and inclusion (DE&I) 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. Who doesn’t love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
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We are a small company with a big mission to improve and save lives.
Creative Life Solutions produces health shows, book signings, convention & corporate trainings and speaking, plus Radio and Television work. Today with Social Media we focus time researching and developing new ways to reach the masses.
Our focus is Self Management Health Management and People Manangement. For over twenty years our founder, Carolyn Gross has been helping people Rise Above the Chaos. She is an award winning Speaker, Author and Patient Advocate, Retreat Facilitator, Certified Time Management Trainer for Day-Timer, Past President of the National Speakers Association in San Diego and Author of three books: Staying Calm in the Midst of Chaos , Treatable and Beatable: Healing Cancer without Surgery and Breaking the Cancer Code
Carolyn introduces effective time management techniques, relationship strategies, teambuilding and customer service tactics, as well as workplace wellness solutions to audiences throughout the United States. She has worked with a wide range of professionals in top resort hotels, healthcare organizations, government agencies, insurance and financial industries, women’s organizations and real estate.
She has been quoted as a stress expert by the Washington Times and CNN, and written articles for: Women’s Council of Realtors Magazine, Strategies Magazine, and Family Circle Magazine in San Diego.
Carolyn’s unique approach to health solutions, relationship strategies and self management for life effectiveness, are highly sought after from some of the nations leading businesses. She dedicates herself to helping others by combining creative life solutions with business principles and wellness practices. Her multi-faceted approach to managing the sea of change we live in has helped companies be courageous and achieve their goals.
Her customized presentations revive and renew team spirit during times of transition and restructuring. Whether she is delivering a keynote presentation on “Success in Life Depends Upon Relationships”, or motivating employees with “Rise Above the Chaos” or working with cancer patients on “The Treatable and Beatable Mindset” her message and material is informative, interactive and energizes people to action. Her effervescent character and interactive style captivate her audiences. She has been called “a veritable energy transfusion” by attendees!
In 2019 we have exciting new publishing projects and campaigns that we are currently at work developing.
Creative Life Solutions puts on the annual Your Health is Your Wealth Event. The next one is Oct 2019 at the California Center for the Arts in Escondido.
If you have a desire to work in a creative environment and make a difference, while making a living, join our team and apply today!
creativelifesolutions.com
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