Florida Workers' Compensation Claims Specialist

1 day ago


Fort Lauderdale, Florida, United States CorVel Enterprise Comp, Inc. Full time
Job Title: Florida Workers' Compensation Senior Claims Specialist

At CorVel Enterprise Comp, Inc., we are seeking a highly skilled and experienced Florida Workers' Compensation Senior Claims Specialist to join our team. As a Senior Claims Specialist, you will be responsible for managing complex and problematic workers' compensation claims within delegated limited authority to determine benefits due.

Key Responsibilities:

  • Investigate and gather information regarding claims and files necessary documentation with state agencies.
  • Determine validity and compensability of claims.
  • Establish reserves and authorize payments within reserving authority limits.
  • Develop and manage well-documented action plans with case managers and outcomes managers to reduce overall cost of claims.
  • Coordinate early return-to-work efforts with appropriate parties.
  • Manage subrogation and litigation of claims as applicable.
  • Manage potential claim recoveries of all types.
  • Report claims to excess carriers when applicable.
  • 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 rules and regulations of applicable states.

Requirements:

  • 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 as an experienced Examiner.
  • Bilingual in English and Spanish.

What We Offer:

  • A comprehensive benefits package, including medical, dental, vision, long-term disability, and 401(k) matching.
  • A stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.
  • A hybrid work environment with opportunities for remote work.

About CorVel Enterprise Comp, Inc.:

CorVel Enterprise Comp, Inc. is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. We are a certified Great Place to Work Company and have been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enables us to deliver the most innovative and integrated solutions to our clients.


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