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CorVel Corporation · 3 months ago

Senior Workers’ Comp Adjuster-Large Loss Claims Specialist

United States

Full-time

Remote

Mid, Senior Level

$60K/yr - $96K/yr

5+ years exp

CorVel Corporation is a national provider of industry-leading risk management solutions. The Large Loss Workers’ Compensation Adjuster is responsible for managing complex and high-exposure workers’ compensation claims, ensuring timely and accurate claim resolution while collaborating with various stakeholders.

InsuranceSoftware

Responsibilities

Handle a caseload of large loss and catastrophic workers’ compensation claims, including complex medical and indemnity exposures

Investigate claims thoroughly to determine compensability, cause, extent of injuries, and potential for subrogation or fraud

Establish and maintain accurate reserves based on file exposure and claim progression

Develop, document, and execute claims strategies tailored to each file

Serve as the primary point of contact for all parties involved in the claim, including injured workers, employers, medical providers, attorneys, and internal teams

Provide regular status updates to stakeholders, ensuring transparency and alignment with claim objectives

Collaborate with internal resources such as nurse case managers, vocational experts, and legal counsel to drive claim resolution

Ensure claims are managed in accordance with applicable workers’ compensation laws, jurisdictional requirements, and internal guidelines

Maintain complete, organized, and timely claim documentation within the claims management system

Prepare required carrier reports, correspondence, and settlement recommendations

Direct and oversee litigation strategy on contested claims, including selection and oversight of defense counsel

Attend mediations, hearings, and settlement conferences as needed

Identify opportunities to control claim costs through proactive management and early intervention

Monitor and manage large loss exposures to protect company assets

Participate in file reviews and provide insight into loss trends, reserving practices, and improvement opportunities

Qualification

Workers' compensation lawsClaims management systemsLarge loss claims handlingAnalytical skillsNegotiation skillsMicrosoft Office SuiteMulti-jurisdictional experienceCommunication skillsInterpersonal skillsProblem-solving abilities