Remote Senior Workers' Comp Claims Specialist

CorVel Corporation; Oregon; Hybrid; USD 61,000 - 98,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental

Vision

401K and Roth 401K

Paid time off

Parking and Transit FSA

Job summary

CorVel Corporation is seeking a Senior Claims Specialist for a remote role focused on complex Workers' Compensation claims. You will work with case managers and attorneys, handle subrogation, and negotiate settlements to deliver optimal outcomes for clients.

You will validate coverage, establish reserves, coordinate return-to-work, and ensure compliance with state requirements while maintaining strong customer relationships and industry knowledge.

Qualifications

• New York state independent adjuster license required.
• Bachelor's degree or a combination of education and related experience.
• Minimum of 3 years’ industry experience and claim handling.
• Self-Insured Certificate preferred.
• 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 and files documentation with state agencies.
• Establishes reserves and authorizes payments within reserving authority limits.
• Develops and manages action plans with the case manager to reduce overall cost of the claim.
• Coordinates early return-to-work efforts with the appropriate parties.
• Manages subrogation and litigation of the claim as applicable.
• 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.

Skills

Communication skills

Team collaboration

Problem solving

MS Office

Time management

Organizational skills

Independent work

Claims knowledge

Education

Bachelor's degree or equivalent

New York adjuster license

Licensed claims adjuster (workers' compensation)

Self-Insured Certificate preferred

3+ years claims experience

Tools

Microsoft Office

Excel

Job description

CorVel Corporation is seeking a Senior Claims Specialist for a remote role focused on complex Workers' Compensation claims. You will work with case managers and attorneys, handle subrogation, and negotiate settlements to deliver optimal outcomes for clients.

You will validate coverage, establish reserves, coordinate return-to-work, and ensure compliance with state requirements while maintaining strong customer relationships and industry knowledge.