Senior Claims Specialist

CorVel Corporation

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

Posted 9/30/2026full-timeRemote • California • United StatesSenior💰 $29 - $47 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Workers’ Compensation claims, including investigation, negotiation, and compliance with regulatory standards. Proficient in developing action plans and maintaining professional relationships to optimize claim outcomes.

Highest-signal resume keywords

Workers’ Compensation Claims ManagementClaims Investigation and Validity AssessmentNegotiation and Settlement SkillsState Certification as Claims AdjusterCustomer Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdministrationCase ManagementCost Containment SolutionsSubrogation ManagementLitigation ManagementDocumentation FilingReserve EstablishmentPolicy Coverage ConfirmationTechnical AptitudeMicrosoft Office Proficiency

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationInterpersonal SkillsTime ManagementOrganizational Skills

Tools & Technologies

Excel Spreadsheets

Certifications & Qualifications

Self-Insured CertificateWorkers’ Compensation License

Industry Keywords

Workers’ CompensationClaims HandlingClaim RecoveriesReturn-to-Work CoordinationClient and Carrier RequirementsWorkplace Safety Compliance

About the role

Key responsibilities & impact

Handle complex and high-profile Workers’ Compensation claims according to company standards
Work closely with case managers and attorneys
Manage subrogation, litigation, and potential claim recoveries
Negotiate settlements
Receive Workers’ Compensation claims and confirm policy coverage and claim acknowledgement
Investigate claims, determine validity and compensability, and file necessary documentation with state agencies
Establish reserves and authorize payments within reserving authority limits
Develop and manage documented action plans with case and outcomes managers to reduce claim costs
Coordinate early return-to-work efforts
Report claims to excess carriers when applicable
Communicate claim status with customers and claimants
Follow client, carrier, state, and workplace safety requirements
Develop and maintain professional customer relationships
Participate in claims reviews as needed
Perform additional duties as assigned

Requirements

What you’ll need

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
Supportive culture
Remote work