Senior Remote Workers' Comp Claims Strategist

CorVel Corporation; Nevada; Remote; USD 61,000 - 98,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental

Vision

Life Insurance

401K

Roth 401K

Paid time off

Parking and Transit FSA

Job summary

CorVel Corporation is seeking a Senior Claims Specialist to handle complex Workers' Compensation claims, coordinating with case managers and attorneys. The role involves subrogation, settlement negotiations, and ensuring outcomes meet customer service standards.

You will develop action plans, monitor expenses, and maintain strong client relationships while adhering to state regulations. Qualifications include a bachelor’s degree or equivalent experience, 3+ years in claims, and active Workers’

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.

Responsibilities

• Receives Workers’ Compensation claim, confirms policy coverage and acknowledgment.
• Determines validity and compensability by investigating and gathering information.
• Establishes reserves and authorizes payments within limits.
• Develops action plans with the case manager to reduce claim costs.
• Coordinates early return-to-work efforts.
• Manages subrogation and litigation as applicable.
• 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 guidelines and participates in claims reviews.
• Maintains professional customer relationships.
• Complies with state rules and regulations.
• Performs additional duties as assigned.

Skills

Excellent communication

Team collaboration

Problem solving

Time management

Organizational skills

Independent work

Claims knowledge

Excel proficiency

Education

Bachelor's degree or related experience

3+ years claims experience

Self-Insured Certificate preferred

State certification/license as experienced claims adjuster

Current WC license/certification

Tools

Microsoft Office

Excel

Job description

CorVel Corporation is seeking a Senior Claims Specialist to handle complex Workers' Compensation claims, coordinating with case managers and attorneys. The role involves subrogation, settlement negotiations, and ensuring outcomes meet customer service standards.

You will develop action plans, monitor expenses, and maintain strong client relationships while adhering to state regulations. Qualifications include a bachelor’s degree or equivalent experience, 3+ years in claims, and active Workers’