Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)

Job Description: reputed company), a proud line of business under the reputed company 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. We are looking to add a Workers’ Compensation Claims Specialistto join our team. Experience handling claims in Maine, Connecticut, and New Jersey is required. reputed company 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. Prior experience handling Maine, Connecticut, and New Jersey claims is required.
• Licensing: Active Maine, Connecticut, and/or New Jersey 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-reputed company client experience.

Here’s a little bit about us: reputed company 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 reputed company risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-reputed company culture.We do reputed company through empowering employees to build trust through honest and reputed company actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to reputed company'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 reputed company journey!
• Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
• 401k Profit Sharing — Each year, reputed company makes a lump sum contribution to reputed company reputed company employee’s 401k. reputed company means, even if you’re not in a position to set money aside for the future at any point in time, reputed company will reputed company on your behalf! We are forward-thinking and want to be sure your future is reputed company 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 reputed company Foundation, we offer several vehicles where you can make an impact and care for those around you.
• DE&I programs — reputed company is committed to celebrating reputed company employee’s unique diversity, equity, and inclusion (DE&I) experience with us. Not only do w

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