Senior Claims Specialist - NY
CorVel Corporation · Syracuse, NY · 1 mo ago
RemoteRemoteFinance$61k–$98k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove generic filler like "commensurate with experience". We need to preserve all substantive info.
Let's parse the posting.
Content:
- Intro: "The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role."
- Then "Essential Functions & Responsibilities" list: bullet points (actually sentences). We'll need to put them in
- .
List items:
1. Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim
2. Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
3. Establishes reserves and authorizes payments within reserving authority limits
4. Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
5. Coordinates early return-to-work efforts with the appropriate parties
6. Manages subrogation and litigation of claim as it applies
7. Manages potential claim recoveries of all types
8. Reports claims to the excess carrier when applicable
9. Communicates claim status with the customer and claimant
10. Adheres to client and carrier guidelines and participates in claims review as needed
11. Develops and maintains professional customer relationships
12. Complies with rules and regulations of applicable state
13. Additional duties as assigned
- Knowledge & Skills: list:
- 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
- Education & Experience:
- 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
- Pay Range: $61,053 – $98,334 (plus description of market based approach). We need to include Pay section only if posting actually states them. It does state a range. So we include Pay section with that range. Also mention that it's market based? The instruction: "Prefer a few substantive sections over many thin ones." We could include Pay with the range and maybe a brief note about market based approach? But we must not invent or summarize away detail. The posting includes a paragraph about pay range determination. That's substantive. We can include that as part of Pay section. However we must not include filler like "commensurate with experience". The paragraph is about how pay is determined; it's not filler. So we can include it.
- Benefits: The posting includes: "A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management". Then later: "A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/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, ROTH 401K, and paid time off."
Thus we have specific benefits list. So we include Benefits section with that list.
- Schedule: The posting mentions "This is a remote role." No explicit schedule (e.g., full-time, hours). Not given. So we should not create Schedule section because no specific schedule info. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. So we skip Schedule.
- About the role: We have introductory paragraph describing role. Could be placed under About the role heading. That seems appropriate.
- Responsibilities: we have Essential Functions & Responsibilities list.
- Requirements: maybe Education & Experience? Could be Requirements. But we also have Knowledge & Skills separate. The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content accordingly.
We have:
- About the role: intro paragraph.
- Responsibilities: Essential Functions & Responsibilities list.
- Requirements: Education & Experience? Could be Requirements (minimum qualifications). Or we could treat Education & Experience as Requirements.
- Qualifications: maybe Certifications etc? But we have Self-Insured Certificate preferred, State Certification or license as an experienced claims adjuster, Current license or certification in Workers’ Compensation must be maintained. Those could be Qualifications.
- Skills: Knowledge & Skills list.
- Benefits: list.
- Pay: range and explanation.
We must not create sections with filler. Ensure each section has real content.
Let's craft HTML:
About the role
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote 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
Qualifications
- 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
Benefits
- Medical (HDHP) w/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
- ROTH 401K
- Paid time off
Pay
Pay Range: $61,053 – $98,334. CorVel uses a market based approach to pay and salary ranges may vary depending on location. Pay rates are established taking into account federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
We must not include Schedule section. Check for any duplicated lines: we removed boilerplate like "A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management" and the generic statements about posting duration, About CorVel, EEO, etc. Those are boilerplate and should be removed. We removed them. Check that we preserved all substantive info: The intro paragraph, responsibilities list, knowledge & skills, education & experience, certifications, pay range and explanation, benefits list. Did we miss anything about "Self-Insured Certificate preferred" included. Yes. Did we miss "Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel". Yes included. Did we miss "Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation". Yes included under Skills. Did we miss "Ability to assist team members to develop knowledge and understanding of claims practice". Yes. Did we miss "Strong interpersonal, time management and organizational skills". Yes. Did we miss "Ability to work both independently and within a team environment". Yes. Did we miss "Excellent written and verbal communication skills". Yes. Did we miss "Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets". Yes. Did we miss "Develops and maintains professional customer relationships". Yes under responsibilities. Did we miss "Adheres to client and carrier guidelines and participates in claims review as needed". Yes. Did we miss "Reports claims to the excess carrier when applicable". Yes. Did we miss "Manages potential claim recoveries of all types". Yes. Did we miss "Manages subrogation and litigation of claim as it applies". Yes. Did we miss "Coordinates early return-to-work efforts with the appropriate parties". Yes. Did we miss "Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim". Yes. Did we miss "Establishes reserves and authorizes payments within reserving authority limits". Yes. Did we miss "Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies". Yes. Did we miss "Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim". Yes. Did we miss "Additional duties as assigned". Yes. Did we miss "Complies with rules and regulations of applicable state". Yes. Did we miss "Minimum of 3