Claims Specialist

• 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

Explore Senior Claims Specialist at CorVel Corporation. Review requirements and application details.