Senior Claims Specialist - New England

CorVel Corporation; Boxborough (MA); On-site; USD 59,000 - 97,000; Full time

Job summary

A leading company in risk management is seeking a Senior Claims Specialist for the New England area. This role involves managing complex workers' compensation claims, negotiating settlements, and ensuring compliance with state regulations. The ideal candidate will possess strong communication and problem-solving skills, along with a Bachelor's degree and relevant experience. The position offers competitive compensation and opportunities for career growth in a supportive environment.

Benefits

Medical

Dental

Vision

Disability

Health Savings Accounts

Life Insurance

401K options

Paid time off

Qualifications

• At least 3 years of industry and claims handling experience.
• Knowledge of workers’ compensation claims processes.

Responsibilities

• Manage complex workers' compensation claims within company standards.
• Negotiate settlements and manage subrogation.
• Coordinate early return-to-work efforts.

Skills

Communication

Problem-solving

Organizational

Time Management

Education

Bachelor's degree

Self-Insured Certificate

State Certification as an experienced Examiner

WC license

Tools

MS Office

Job description

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Job Description

The Senior Claims Specialist manages complex and high visibility workers' compensation claims within company standards and best practices. Responsibilities include working closely with case managers and attorneys, managing subrogation, and negotiating settlements to achieve optimal outcomes, supporting the claims department and CorVel’s goals.

Essential Functions & Responsibilities

1. Receive claims, confirm policy coverage, and acknowledge the claim.
2. Determine validity and compensability of claims by investigating and gathering necessary information and documentation.
3. Establish reserves and authorize payments within authority limits.
4. Develop and manage action plans with the team to reduce claim costs.
5. Coordinate early return-to-work efforts.
6. Manage subrogation, litigation, and potential recoveries.
7. Report claims to excess carriers when applicable.
8. Communicate claim status with customers and claimants.
9. Adhere to guidelines and participate in reviews.
10. Develop and maintain professional relationships.
11. Comply with applicable state rules and regulations.
12. Perform additional duties as assigned.

Knowledge & Skills

• Excellent communication skills.
• Ability to develop claims knowledge and understanding.
• Problem-solving skills.
• Proficiency with MS Office, especially Excel.
• Strong interpersonal, organizational, and time management skills.
• Ability to work independently and in a team.
• Knowledge of workers’ compensation claims processes.

Education & Experience

• Bachelor's degree or equivalent experience.
• At least 3 years of industry and claims handling experience.
• Self-Insured Certificate preferred.
• State Certification as an experienced Examiner.
• WC license.

Pay Range

Range: $59,681 – $96,123. Compensation varies based on location, skills, experience, and market conditions. New hires may be slotted into different levels, affecting salary and responsibilities. Details will be clarified during the offer process.

About CorVel

CorVel is a Great Place to Work, providing risk management solutions since 1987, publicly traded on NASDAQ since 1991. We invest in our people and technology, offering career growth in a supportive culture with core values of Accountability, Commitment, Excellence, Integrity, and Teamwork.

Benefits include Medical, Dental, Vision, Disability, Health Savings Accounts, Life Insurance, 401K options, paid time off, and more.

CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Insurance