CorVel Corporation · 7 hours ago

CA Senior Claims Specialist WC

Folsom, CA

Full-time

Remote

Mid, Senior Level

$28.02/hr - $45.13/hr

3+ years exp

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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 projects and duties as assigned.

Qualification

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Claims administrationWorkers' CompensationMS Office proficiency3 years industry experienceSelf-Insured CertificateState Certification as Examiner