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Workers' Compensation Claims Specialist, CRS
Holmes Murphy & Associates • Remote • Posted 8 days ago
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Remote • Full-time • Junior Level
Job Highlights
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Holmes Murphy & Associates is seeking a Workers' Compensation Claims Specialist to service captive and self-insured accounts. This role involves servicing claims, investigating, evaluating, and resolving Workers' Compensation claims, and requires telecommuting. The ideal candidate will have jurisdictional experience in IA, IL, IN, KS, MO and strong interpersonal communication skills.
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.
- Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
- Generates checks for medical payments daily.
- Compiles and interprets Workers' compensation reports on designated accounts, as requested.
- Participates in claim reviews and attending Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
- Ability to handle multiple jurisdictions of medical workers' compensation claims.
- Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Qualifications
Required
- High School education with college preferred.
- 1 - 2 years' claims experience with strong background in Workers' Compensation coverage.
- Knowledge of Workers' Compensation insurance coverage.
- Skillful knowledge of claims processing procedures.
- Ability to work with persons under adverse or highly emotional conditions.
- Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
- Ability to become licensed if required in jurisdiction where claims are handled.
- Must be knowledgeable of and comply with HMA's Client Privacy Policy, HIPAA regulations and E&O procedures and policies.
Full Job Description
Creative Risk Solutions, a division of Holmes Murphy, is dedicated to investing in our employees and fostering a work environment that promotes growth, appreciation, and dedication. We believe that when our employees feel valued, they are better equipped to contribute to the success of our clients and our company.
We are seeking a dynamic Workers' Compensation Claims Specialist who thrives in a collaborative environment and has strong interpersonal communication skills. This role involves servicing captive and self-insured accounts and requires telecommuting. The ideal candidate will have jurisdictional experience IA, IL, IN, KS, MO.
Responsibilities:
Knowledge, Skills and Abilities:
Qualifications:
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-EG1
We are seeking a dynamic Workers' Compensation Claims Specialist who thrives in a collaborative environment and has strong interpersonal communication skills. This role involves servicing captive and self-insured accounts and requires telecommuting. The ideal candidate will have jurisdictional experience IA, IL, IN, KS, MO.
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.
- Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
- Generates checks for medical payments daily.
- Compiles and interprets Workers' compensation reports on designated accounts, as requested.
- Participates in claim reviews and attending Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
- Ability to handle multiple jurisdictions of medical workers' compensation claims.
- Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Knowledge, Skills and Abilities:
- Knowledge of Workers' Compensation insurance coverage and the ability to apply that knowledge in the performance of the job duties.
- Skillful knowledge of claims processing procedures.
- Ability to work with persons under adverse or highly emotional conditions.
- Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
- Ability to become licensed if required in jurisdiction where claims are handled.
- Must be knowledgeable of and comply with HMA's Client Privacy Policy, HIPAA regulations and E&O procedures and policies.
Qualifications:
- Education: High School education with college preferred.
- Experience: 1 - 2 years' claims experience with strong background in Workers' Compensation coverage.
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.
#LI-EG1
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