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CorVel Corporation · 1 month ago

Senior Claims Specialist - Strategic Rotation

Lawrenceville, Georgia, United States

Full-time

Hybrid

Senior Level

$60K/yr - $96K/yr

5+ years exp

CorVel Corporation is a national provider of industry-leading risk management solutions. The Senior Claims Specialist - Strategic Rotation handles complex Workers' Compensation claims, supports adjusters, and ensures optimal outcomes while managing relationships and participating in special projects.

InsuranceSoftware

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 duties as assigned

Qualification

Claims administrationWorkers' CompensationMS Office proficiencyProblem solvingCase managementCommunication skillsInterpersonal skillsTime managementOrganizational skillsTeamworkIndependent workNegotiation

Required

Bachelor's degree or a combination of education and related experience

Minimum of 5 years' industry experience and claim handling

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