Remote Senior WC Claims Strategist

CorVel Corporation; Downers Grove (IL); Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Long Term Disability

Health Savings Account

Flexible Spending Account

Life Insurance

Accident Insurance

Critical Illness Insurance

Pre-paid Legal Insurance

Parking & Transit FSA

401K

Roth 401K

Paid time off

Job summary

CorVel Corporation is seeking a Senior Workers' Compensation Claims Specialist for the Downers Grove, IL area. This remote role handles complex WC claims, works with case managers and attorneys, and oversees subrogation and settlements to optimize claim outcomes.

Responsibilities include reserving, early return-to-work coordination, and ensuring compliance with state rules while maintaining strong client relationships.

Qualifications

• Preferred MI Adjuster License and MI Workers Compensation proficiency.
• 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 throughout employment with CorVel

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 regarding the claim and files necessary documentation with state agencies.
• Establishes reserves and authorizes payments within reserving authority limits.
• Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim.
• Coordinates early return-to-work efforts with the appropriate parties.
• Manages subrogation and litigation of claim as it applies.
• Manages potential claim recoveries of all types.
• Reports claims to the excess carrier when applicable.
• Communicates claim status with the customer and claimant.
• Adheres to client and carrier guidelines and participates in claims review as needed.
• Develops and maintains professional customer relationships.
• Complies with rules and regulations of applicable state.
• Additional duties as assigned

Skills

Communication

Team support

Problem solving

MS Office Excel

Interpersonal skills

Time management

Independent work

Claims knowledge

Education

MI Adjuster License

Bachelor's degree or equivalent

Worker's Compensation license

Tools

Microsoft Office

Excel

Job description

CorVel Corporation is seeking a Senior Workers' Compensation Claims Specialist for the Downers Grove, IL area. This remote role handles complex WC claims, works with case managers and attorneys, and oversees subrogation and settlements to optimize claim outcomes.

Responsibilities include reserving, early return-to-work coordination, and ensuring compliance with state rules while maintaining strong client relationships.