Senior Claims Specialist

CorVel Corporation

. Handle complex and high-profile Workers’ Compensation claims following company standards .

Posted 10/22/2026full-timeRemote • Vermont • United StatesSenior💰 $61,053 - $98,334 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Workers’ Compensation claims, including investigation, documentation, and compliance with state regulations. Strong ability to develop action plans and maintain professional relationships while ensuring effective communication and problem-solving.

Highest-signal resume keywords

Vermont Adjuster LicenseWorkers’ Compensation Claims HandlingClaims AdministrationCase ManagementCost Containment Solutions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationPolicy Coverage ConfirmationDocumentation FilingReserve EstablishmentSubrogation ManagementLitigation ManagementClaim RecoveryMicrosoft OfficeExcel SpreadsheetsProblem Analysis

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationInterpersonal SkillsTime ManagementOrganizational Skills

Certifications & Qualifications

Self-Insured CertificateState Certification as Claims Adjuster

Industry Keywords

Workers’ CompensationClaims ReviewClient GuidelinesCarrier GuidelinesReturn-to-Work Coordination

About the role

Key responsibilities & impact

Handle complex and high-profile Workers’ Compensation claims following company standards
Work closely with case managers and attorneys
Receive Workers’ Compensation claims and confirm policy coverage and claim acknowledgement
Investigate claims, determine validity and compensability, and gather information
File necessary 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, litigation, and 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
Perform additional duties as assigned

Requirements

What you’ll need

Vermont adjuster license required
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, including Microsoft Office and 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

Comp & perks

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 work arrangement