Remote Senior Workers' Comp Claims Specialist

CorVel Career Site; Rancho Cucamonga (CA); Remote; USD 90,000 - 130,000; Full time

Job summary

CorVel is seeking a Senior Claims Specialist for remote work in the United States. You will handle complex Workers’ Compensation claims, working with case managers and attorneys, managing subrogation and settlements, and optimizing outcomes within established guidelines.

You will ensure timely reserves, communicate with clients and claimants, and coordinate return-to-work initiatives while complying with state regulations and CorVel’s standards.

Qualifications

• Bachelor's degree or equivalent in a related field or commensurate experience.
• Industry experience in workers’ compensation with claims handling.
• State licensure or certifications maintained throughout employment.

Responsibilities

• Review and intake of Workers’ Compensation claims.
• Determine validity and compensability by investigating and gathering information.
• Establish reserves and authorize payments within limits.
• Coordinate early return-to-work efforts and manage subrogation/litigation.
• Communicate claim status with customer and claimant; maintain client guidelines.

Skills

Communication

Team collaboration

Problem solving

MS Office

Time management

Interpersonal skills

Claims knowledge

Education

Bachelor's degree or equivalent

Self-Insured Certificate preferred

State Certification or license as an experienced claims adjuster

Current license in Workers’ Compensation

Tools

Microsoft Excel

Job description

CorVel is seeking a Senior Claims Specialist for remote work in the United States. You will handle complex Workers’ Compensation claims, working with case managers and attorneys, managing subrogation and settlements, and optimizing outcomes within established guidelines.

You will ensure timely reserves, communicate with clients and claimants, and coordinate return-to-work initiatives while complying with state regulations and CorVel’s standards.