Remote Senior Claims Specialist - WC Subrogation

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401K

Paid time off

Parking and transit benefits

Job summary

CorVel is seeking a WC Senior Claims Specialist for a fully remote role based in the United States. You will handle complex workers’ compensation claims, coordinate with case managers and attorneys, manage subrogation, and negotiate settlements to control costs while delivering quality customer service.

The role requires a minimum of 3 years of claims handling, a relevant license, and strong communication and analytical skills.

Qualifications

• Bachelor's degree or equivalent education/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 throughout employment with CorVel.

Responsibilities

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

Skills

Communication

Investigation

Claims knowledge

Excel

Teamwork

Time management

Claims administration

Education

Bachelor's degree

Licensed claims adjuster

Workers’ Compensation license

Self-Insured Certificate

Tools

Microsoft Office

Job description

CorVel is seeking a WC Senior Claims Specialist for a fully remote role based in the United States. You will handle complex workers’ compensation claims, coordinate with case managers and attorneys, manage subrogation, and negotiate settlements to control costs while delivering quality customer service.

The role requires a minimum of 3 years of claims handling, a relevant license, and strong communication and analytical skills.