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Senior Workers' Compensation Claims Specialist, Supervisor
Creative Risk Solutions (CRS)Claims Specialist providing high quality claims handling oversight and expertise at Creative Risk Solutions. Responsible for managing teams and ensuring effective claims resolution processes.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims handlingadjudicationinvestigationnegotiationperformance analysisclaims principlesinsurance coverage interpretationlitigated claims managementcoverage analysisreserves management
Soft Skills
coachingteam managementcustomer servicegoal settingaccountabilitycommunicationleadershipworkflow managementperformance reviewclient consulting
Certifications
Workers Compensation License