Remote Senior Workers' Comp Claims Specialist

CorVel Corporation; Folsom (CA); Hybrid; USD 85,000 - 120,000; Full time

Benefits offered by this job

Medical benefits

401K plan

Paid time off

Job summary

CorVel Corporation is seeking a CA Workers' Compensation Senior Claims Specialist in a remote role based in Folsom, CA. The position focuses on complex WC claims, reserves, and cost management, collaborating with case managers and attorneys for favorable outcomes.

The role requires 3+ years' claims experience, a related degree, and active WC licensure or certification. A self-insured certificate is preferred and the company offers a comprehensive benefits package and remote work flexibility.

Qualifications

• Bachelor's degree or equivalent combination of education and 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 by investigation and documentation with state agencies.
• Establishes reserves and authorizes payments within limits.
• Coordinates early return-to-work efforts with the team.
• Manages subrogation and litigation as applicable.
• Reports claims to the excess carrier when applicable.

Skills

Communication

Problem solving

MS Office

Teamwork

Time management

Independent work

Claims knowledge

Education

Bachelor's degree

3+ years industry experience

Workers’ Compensation license

Self-Insured Certificate

State claims adjuster certification

Tools

Microsoft Excel

Job description

CorVel Corporation is seeking a CA Workers' Compensation Senior Claims Specialist in a remote role based in Folsom, CA. The position focuses on complex WC claims, reserves, and cost management, collaborating with case managers and attorneys for favorable outcomes.

The role requires 3+ years' claims experience, a related degree, and active WC licensure or certification. A self-insured certificate is preferred and the company offers a comprehensive benefits package and remote work flexibility.