Remote CA: Senior Workers' Comp Claims Specialist

CorVel Corporation; Sacramento (CA); Remote; USD 40,000 - 65,000; Full time

Job summary

CorVel seeks a Senior Workers' Compensation Claims Specialist to handle complex, high-profile WC claims, coordinating with case managers and attorneys, managing subrogation, and negotiating settlements. This is a remote position and must reside in California.

The role emphasizes excellent communication, rigorous analysis, cost containment, and collaboration with the Claims Department to deliver optimal outcomes for clients and injured workers.

Qualifications

• Bachelor's degree or a combination of education and related experience.
• Minimum of 3 years’ industry experience and claim handling.
• State Certification or license as an experienced claims adjuster.
• Current license or certification in Workers’ Compensation must be maintained.

Responsibilities

• Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim.
• Determines validity and compensability of the claim by investigating and gathering information.
• Establishes reserves and authorizes payments within reserving authority limits.
• Coordinates early return-to-work efforts with the appropriate parties.
• Manages subrogation and litigation of claim as it applies.
• Reports claims to the excess carrier when applicable.
• Communicates claim status with the customer and claimant.
• Develops and maintains professional customer relationships.

Skills

Communication

Investigative thinking

Problem solving

Microsoft Office

Education

Bachelor's degree or equivalent

State Certification or license as an experienced claims adjuster

Current license or certification in Workers’ Compensation

Self-Insured Certificate preferred

Tools

Microsoft Office

Job description

CorVel seeks a Senior Workers' Compensation Claims Specialist to handle complex, high-profile WC claims, coordinating with case managers and attorneys, managing subrogation, and negotiating settlements. This is a remote position and must reside in California.

The role emphasizes excellent communication, rigorous analysis, cost containment, and collaboration with the Claims Department to deliver optimal outcomes for clients and injured workers.