Senior Claims Specialist - FLOAT

OH jurisdiction with knowledge of WV preferred. Hybrid role.

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

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 or license as an experienced claims adjuster
• Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel

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

Pay

Pay Range: $61,053 – $98,334. CorVel uses a market-based approach to pay, taking into account federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles, new hires may be slotted into a different level based on assessment during the interview process, which may impact the salary range.

Benefits

• Medical (HDHP) with 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 and ROTH 401K
• Paid time off

About the Company

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. Founded in 1987 and publicly traded on the NASDAQ stock exchange since 1991, CorVel invests in human capital and technology to deliver innovative and integrated solutions. The company has over 4,000 employees across the United States and embraces core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).