Florida Workers' Compensation Claims Manager

4 weeks ago


Sunrise Manor, Nevada, United States CorVel Corporation Full time

As a Senior Claims Specialist for Workers' Compensation at CorVel Corporation, you will play a critical role in managing complex and problematic claims within our company's standards and best practices. Your expertise will be essential in determining benefits due, working closely with case managers and attorneys, and negotiating settlements to ensure the best possible outcome for our customers.

This is a hybrid position that requires you to reside in a specific area and be willing to travel to Palm Beach County as needed. Your strong interpersonal and time management skills will be valuable assets in this role.

Key Responsibilities:

  • Receive and confirm claim information, ensuring policy coverage and acknowledgement
  • Determine the validity and compensability of claims by investigating and gathering information
  • Establish reserves and authorize payments within reserving authority limits
  • Develop and manage action plans with case managers and outcomes managers to reduce claim costs
  • Coordinate early return-to-work efforts and manage subrogation and litigation as needed
  • Report claims to excess carriers and communicate claim status with customers and claimants
  • Adhere to client and carrier guidelines and participate in claims review as needed
  • Develop and maintain professional customer relationships
  • Comply with applicable state regulations

Requirements:

  • Bachelor's degree or equivalent experience
  • Minimum 3 years' industry experience and claim handling
  • Self-Insured Certificate preferred
  • State Certification as an experienced Examiner
  • Bilingual in English and Spanish

About CorVel:

CorVel Corporation is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.

A comprehensive benefits package is available for full-time regular employees, including medical, dental, vision, long-term disability, and more.



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