Remote Senior Workers’ Comp Claims Specialist

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

Benefits offered by this job

Comprehensive benefits

Remote work in CA

Job summary

CorVel is seeking a Senior Claims Specialist to manage complex Workers’ Compensation claims from a remote California-based role. You will collaborate with case managers and attorneys, handle subrogation, negotiate settlements, and ensure customer service standards are met.

Responsibilities include reserving, investigating claim validity, coordinating early return-to-work, and reporting to excess carriers as needed. A Bachelor's degree and 3+ years in claims are required.

Qualifications

• Bachelor's degree or 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 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.
• Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (IIPP).
• Additional duties as assigned

Skills

Communication

Teamwork

Problem solving

MS Office/Excel

Time management

Independent work

Claims knowledge

Education

Bachelor's degree

Self-Insured Certificate

Claims adjuster license

Workers’ Compensation license

Tools

Microsoft Office

Job description

CorVel is seeking a Senior Claims Specialist to manage complex Workers’ Compensation claims from a remote California-based role. You will collaborate with case managers and attorneys, handle subrogation, negotiate settlements, and ensure customer service standards are met.

Responsibilities include reserving, investigating claim validity, coordinating early return-to-work, and reporting to excess carriers as needed. A Bachelor's degree and 3+ years in claims are required.