Senior Claims Specialist

CorVel Corporation

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

Posted 10/6/2026full-timeRemote • California • United StatesSenior💰 $29 - $47 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

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

Highest-signal resume keywords

Workers’ Compensation Claims ManagementNegotiation SkillsClaims Investigation and Validity AssessmentState Certification as Claims AdjusterCustomer Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingSubrogation ManagementLitigation ManagementDocumentation FilingReserve EstablishmentCost Containment SolutionsMicrosoft OfficeExcel Proficiency

Soft Skills

Excellent Communication SkillsInterpersonal SkillsTime ManagementOrganizational SkillsProblem-Solving Ability

Certifications & Qualifications

Bachelor's DegreeSelf-Insured CertificateWorkers’ Compensation License

Industry Keywords

Claims AdministrationCase ManagementClient GuidelinesRegulatory ComplianceReturn-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
Manage subrogation, litigation, and potential claim recoveries
Negotiate settlements
Receive Workers’ Compensation claims and confirm policy coverage and acknowledgement
Determine claim validity and compensability through investigation and information gathering
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
Report claims to excess carriers when applicable
Communicate claim status with customers and claimants
Adhere to client, carrier, and applicable state guidelines and regulations
Participate in claims reviews as needed
Develop and maintain professional customer relationships
Comply with workplace safety rules and regulations
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 the entire claims administration, case management and cost containment solution as 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
401(k)
Roth 401(k)
Paid time off
Career advancement opportunities
Supportive culture
Remote work