Senior Workers' Comp Claims Strategist (Remote)

CorVel Corporation; Folsom (CA); Remote; USD 40,000 - 65,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

401K

ROTH 401K

Paid time off

Parking and Transit FSA accounts

Job summary

CorVel Corporation invites applications for a Senior Workers’ Compensation Claims Specialist. This remote role handles complex WC claims, works with case managers and attorneys, and manages subrogation and settlements to achieve favorable outcomes while meeting client service standards.

Responsibilities include reserving, investigation, return-to-work coordination, and communicating status to customers. Requires 3+ years in claims handling, state licensure, and relevant certifications;

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 acknowledgement of the claim.
• Determines validity and compensability by investigating and gathering information and files necessary documentation with state agencies.
• Establishes reserves and authorizes payments within reserving authority limits.
• Develops 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 state rules and regulations.
• Complies with IIPP safety rules during working hours.
• Additional duties as assigned.

Skills

Written communication

Verbal communication

Team collaboration

Analytical thinking

Time management

Organizational skills

Claims knowledge

Microsoft Office

Education

Bachelor’s degree

Self-Insured Certificate preferred

State certification or license as an experienced claims adjuster

Workers’ Compensation license/certification

Tools

MS Office

Excel

Job description

CorVel Corporation invites applications for a Senior Workers’ Compensation Claims Specialist. This remote role handles complex WC claims, works with case managers and attorneys, and manages subrogation and settlements to achieve favorable outcomes while meeting client service standards.

Responsibilities include reserving, investigation, return-to-work coordination, and communicating status to customers. Requires 3+ years in claims handling, state licensure, and relevant certifications;