Remote Senior Workers' Comp Claims Specialist

CorVel Corporation; United States; Remoto; USD 90.000 - 120.000; Tempo pieno

Descrizione del lavoro

CorVel Corporation is seeking a WC Senior Claims Specialist to handle complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements.

The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Competenze

• CT, MA, NH, RI license or experience required.
• ME and VT license and experience preferred.
• 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

Mansioni

• 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

Conoscenze

Communication skills

Investigation & problem solving

Team collaboration

Formazione

Bachelor's degree or equivalent experience

Licensure in Workers’ Compensation

Self-Insured Certificate preferred

State certification or license as experienced claims adjuster

Current license or certification in Workers’ Compensation

Strumenti

Microsoft Excel

Claims management software

Descrizione del lavoro

CorVel Corporation is seeking a WC Senior Claims Specialist to handle complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements.

The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.