Senior Workers' Compensation Claims Specialist

CorVel Corporation; Downers Grove, Northern (IL, KY); Vor Ort; USD 85.000 - 115.000; Vollzeit

Benefits dieser Stelle

Medical (HDHP) w/Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

Flexible Spending Account Options

Life Insurance

Accident Insurance

Critical Illness Insurance

Pre-paid Legal Insurance

Parking and Transit FSA accounts

401K

ROTH 401K

Paid time off

Zusammenfassung

CorVel Corporation in Downers Grove, IL is seeking a Senior Workers' Compensation Claims Specialist. You will handle complex workers’ compensation claims, work with case managers and attorneys, manage subrogation, and negotiate settlements. The role supports customer service standards and department goals in a hybrid/remote setup.

Requires a Home State Adjuster license and 3+ years of claim experience, with strong communication and analytical skills to ensure optimal claim outcomes.

Qualifikationen

• Bachelor's degree or equivalent required.
• Active workers' compensation adjuster license required.
• 3+ years of claim handling experience preferred.
• MI license/experience is a plus where applicable.

Aufgaben

• Handle complex workers' compensation claims with close collaboration with case managers and attorneys.
• Determine claim validity and compensability; gather required documentation.
• Establish reserves and authorize payments within authority.
• Develop action plans with case managers to reduce claim costs.
• Coordinate early return-to-work efforts with involved parties.
• Manage subrogation and potential litigation aspects.
• Communicate status to customers and claimants; maintain relationships.

Kenntnisse

Communication skills

Team collaboration

Problem solving

Microsoft Office

Excel

Time management

Independence

Ausbildung

Bachelor's degree or equivalent

Workers' compensation adjuster license

Tools

Microsoft Office

Jobbeschreibung

Senior Workers' Compensation Claims Specialist

Job Category: Claims

Requisition Number: SENIO011752

• Posted : September 4, 2026
• Full-Time

Locations

Showing 1 location

Downers Grove, IL 60515, USA

Description

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements.The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer serviceexpectations, and supporting the goals of the Claims Department and CorVel.

This role is available for both remote and hybrid work arrangements.

Position requires at a minimum of a Home State Adjuster license, candidate must be able to provide proof.

ESSENTIAL FUNCTIONS & 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

KNOWLEDGE & SKILLS:

• Excellent written and verbal communication skills
• Ability to assist team members to develop knowledge and understanding of claims practice
• Ability to identify, analyze and solve problems
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to work both independently and within a team environment
• Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation

EDUCATION & EXPERIENCE:

• Preferred MI Adjuster License and MI Workers Compensation proficiency
• Bachelor's degree or a 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 throughout employment with CorVel

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• and paid time off.

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

#LI-Hybrid

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.