Senior Claims Specialist

🕒 September 11

🏄 California – Remote

🏄 California – Remote

💵 $29 - $47 / hour

⏰ Full Time

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 14%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CorVel Corporation

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1987

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

CorVel Corporation is a risk management and healthcare services company that provides integrated claims and care solutions for payors and employers. It specializes in workers' compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions, and it offers technology platforms that use AI and data analytics to streamline claims administration, improve outcomes, and reduce costs.

📋 Description

• Handle complex and high-profile Workers’ Compensation claims according to company standards • Receive Workers’ Compensation claims and confirm policy coverage and claim acknowledgement • Investigate claims, determine validity and compensability, and file required documentation with state agencies • Establish reserves and authorize payments within reserving authority limits • Develop and manage documented action plans with case managers and outcomes managers to reduce claim costs • Coordinate early return-to-work efforts • Manage subrogation and litigation as applicable • Manage potential claim recoveries • Report claims to excess carriers when applicable • Communicate claim status with customers and claimants • Adhere to client and carrier guidelines and participate in claims reviews • Develop and maintain professional customer relationships • Comply with applicable state rules and regulations and workplace safety requirements • Perform 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 • 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 • Proficiency with Microsoft Office, including Excel spreadsheets • Strong interpersonal, time management and organizational skills • Ability to work independently and within a team environment • Knowledge of claims administration, case management and cost containment solutions applicable to Workers’ Compensation

🏖️ Benefits

• Medical (HDHP) with Pharmacy • Dental insurance • Vision insurance • 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 • Career advancement opportunities • Remote position • Supportive culture