Senior Claims Specialist

5 days ago


Rancho Cucamonga, California, United States CorVel Corporation Full time
Job Title: Senior Claims Specialist

CorVel Corporation is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated authority limits.

Key Responsibilities:
  • Investigate and gather information regarding claims and file necessary documentation with state agencies.
  • Determine validity and compensability of claims, establishing reserves and authorizing payments within reserving authority limits.
  • Develop and manage well-documented action plans with case managers and outcomes managers to reduce overall claim costs.
  • Coordinate early return-to-work efforts with relevant parties and manage subrogation and litigation of claims as necessary.
  • Communicate claim status with customers and claimants, adhering to client and carrier guidelines and participating in claims review as needed.
Requirements:
  • Bachelor's degree or equivalent combination of education and experience.
  • Minimum 3 years' industry experience and claim handling.
  • Self-Insured Certificate preferred, as well as state certification as an experienced examiner.
What We Offer:

CorVel Corporation offers a comprehensive benefits package, including medical, dental, vision, long-term disability, and 401(k) plans. Our company culture values accountability, commitment, excellence, integrity, and teamwork (ACE-IT), and we are committed to providing a stable and growing work environment with opportunities for career advancement.

CorVel Corporation is an equal opportunity employer and complies with ADA regulations as applicable. #LI-Remote



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