Senior Remote Workers' Comp Claims Specialist

CorVel Brand; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

CorVel is seeking a Senior Claims Specialist for a remote United States role focusing on complex Workers’ Compensation claims. You will collaborate with case managers and attorneys, determine claim validity, establish reserves, and pursue cost containment through subrogation and settlements.

You will communicate with clients, uphold carrier guidelines, and manage relationships to ensure favorable outcomes. This position requires strong written/verbal skills and a thorough understanding of

Qualifications

• Bachelor's degree or an equivalent combination of education and experience.
• Minimum of 3 years’ industry experience and claim handling.
• State Certification or license as an experienced claims adjuster.
• Current license or certification in Workers’ Compensation must be maintained throughout employment

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
• Additional duties as assigned

Skills

Communication

Team collaboration

Claims knowledge

MS Excel

Independent work

Education

Bachelor's degree

3+ years claims experience

Self-Insured Certificate preferred

State license for workers’ compensation

Job description

CorVel is seeking a Senior Claims Specialist for a remote United States role focusing on complex Workers’ Compensation claims. You will collaborate with case managers and attorneys, determine claim validity, establish reserves, and pursue cost containment through subrogation and settlements.

You will communicate with clients, uphold carrier guidelines, and manage relationships to ensure favorable outcomes. This position requires strong written/verbal skills and a thorough understanding of