Risk Management Consultant
3 days ago
The Senior Indemnity Claims Specialist manages complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; works closely with case managers and attorneys; manages subrogation and negotiates settlements to ensure specific customer service requirements are met to achieve the best possible outcome in the claim, supporting the goals of the claims department and of CorVel.
This is a remote position.
Key Responsibilities:
- Receives 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 projects and duties as assigned.
Requirements:
- 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 MS 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.
Salary Range:
The estimated salary for this role is $73,134 - $117,270 per year, depending on location. CorVel uses a market-based approach to pay and our salary ranges may vary depending on factors such as federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
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