Senior Workers’ Compensation Claims Lead (Remote)

CorVel Brand; City of Syracuse (NY); Remote; USD 61,000 - 98,000; Full time

Job summary

CorVel is seeking a Senior Claims Specialist to handle complex Workers’ Compensation claims, collaborating with case managers and attorneys, and managing subrogation to secure favorable outcomes. This remote role emphasizes strong communication, analytical thinking, and cost containment, delivering timely, accurate updates and superior customer service to clients and claimants.

Ideal candidates will hold a Bachelor’s degree, at least 3 years of claim handling experience, and the appropriate

Qualifications

• Bachelor’s degree or combination of education and related 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.

Skills

Communication

Team collaboration

Problem solving

MS Office

Education

Bachelor’s degree

Claims adjuster license

Self-Insured Certificate

Tools

Microsoft Excel

Job description

CorVel is seeking a Senior Claims Specialist to handle complex Workers’ Compensation claims, collaborating with case managers and attorneys, and managing subrogation to secure favorable outcomes. This remote role emphasizes strong communication, analytical thinking, and cost containment, delivering timely, accurate updates and superior customer service to clients and claimants.

Ideal candidates will hold a Bachelor’s degree, at least 3 years of claim handling experience, and the appropriate