Senior Workers' Compensation Claims Specialist, Supervisor

Posted 4ds ago

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Job Description

Claims Specialist providing high quality claims handling oversight and expertise at Creative Risk Solutions. Responsible for managing teams and ensuring effective claims resolution processes.

Responsibilities:

  • Provide high quality claims handling oversight and expertise for all CRS customers
  • Adjudicate claims during staffing shortages, investigate, and negotiate settlements
  • Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management
  • Assist staff in managing litigation claims, ensuring timely responses
  • 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
  • Analyze performance data to implement necessary changes

Requirements:

  • 5+ years of adjusting property and casualty claims, including litigated claims
  • Prior agency, loss control or carrier experience preferred
  • Prior supervisory experience preferred
  • Active state specific Workers Compensation License required or the ability to acquire license within three months of hire
  • Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties
  • Knowledge or ability to learn multiple state insurance regulations; pass state licensing exams
  • Strong grasp of claims principles, practices, and insurance coverage interpretation

Benefits:

  • Health insurance
  • Dental insurance
  • Vision insurance
  • 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
  • DE&I programs
  • Consistent merit increase and promotion opportunities
  • Discretionary bonus opportunity