Talent.com
Senior Workers Comp Adjuster-Large Loss Claims Specialist
Senior Workers Comp Adjuster-Large Loss Claims SpecialistCorVel • Staten Island, NY, US
[error_messages.no_longer_accepting]
Senior Workers Comp Adjuster-Large Loss Claims Specialist

Senior Workers Comp Adjuster-Large Loss Claims Specialist

CorVel • Staten Island, NY, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Senior Workers' Comp Adjuster-Large Loss Claims Specialist

The Large Loss Workers' Compensation Adjuster is responsible for managing a caseload of complex and high-exposure workers' compensation claims from initial assignment to resolution. This role requires strong technical expertise in claims handling, thorough knowledge of workers' compensation laws and regulations, and the ability to develop strategies that achieve cost-effective and fair claim outcomes. The adjuster will work closely with injured employees, employers, medical providers, attorneys, and internal stakeholders to ensure timely and accurate claim resolution.

This is a remote role.

Essential Functions & Responsibilities :

  • Claim Management

Handle a caseload of large loss and catastrophic workers' compensation claims, including complex medical and indemnity exposures

  • Investigate claims thoroughly to determine compensability, cause, extent of injuries, and potential for subrogation or fraud.
  • Establish and maintain accurate reserves based on file exposure and claim progression.
  • Develop, document, and execute claims strategies tailored to each file.
  • Communication & Coordination
  • Serve as the primary point of contact for all parties involved in the claim, including injured workers, employers, medical providers, attorneys, and internal teams.

  • Provide regular status updates to stakeholders, ensuring transparency and alignment with claim objectives.
  • Collaborate with internal resources such as nurse case managers, vocational experts, and legal counsel to drive claim resolution.
  • Compliance & Documentation
  • Ensure claims are managed in accordance with applicable workers' compensation laws, jurisdictional requirements, and internal guidelines.

  • Maintain complete, organized, and timely claim documentation within the claims management system.
  • Prepare required carrier reports, correspondence, and settlement recommendations.
  • Litigation Management
  • Direct and oversee litigation strategy on contested claims, including selection and oversight of defense counsel.

  • Attend mediations, hearings, and settlement conferences as needed.
  • Financial & Strategic Impact
  • Identify opportunities to control claim costs through proactive management and early intervention.

  • Monitor and manage large loss exposures to protect company assets.
  • Participate in file reviews and provide insight into loss trends, reserving practices, and improvement opportunities.
  • Knowledge & Skills :

  • In-depth knowledge of workers' compensation laws, medical terminology, and claims best practices.
  • Exceptional negotiation, communication, and interpersonal skills.
  • Strong analytical, decision-making, and problem-solving abilities.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with claims management systems and Microsoft Office Suite.
  • Education / Experience :

  • Education : Bachelor's degree preferred; equivalent work experience considered.
  • Experience :
  • Minimum 57 years of workers' compensation claims handling experience, with at least 3 years handling large loss / catastrophic claims.

  • Multi-jurisdictional experience strongly preferred.
  • Pay Range :

    CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors : federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

    For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

    Pay Range : $59,681 $96,123

    A list of our benefit offerings can be found on our CorVel website.

    CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

    [job_alerts.create_a_job]

    Senior • Staten Island, NY, US

    [internal_linking.related_jobs]
    Senior Claims Adjuster

    Senior Claims Adjuster

    QBE Insurance • New York, NY, US
    [job_card.full_time]
    We are seeking a highly skilled and motivated Senior Claims Adjuster to join our dynamic team.This role is pivotal in supporting the implementation of our Claims strategy and ensuring the delivery ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Sr. Claims Specialist

    Sr. Claims Specialist

    W.R. Berkley • Jersey City, NJ, US
    [job_card.full_time]
    This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Liability Claims Adjuster

    Liability Claims Adjuster

    Generali Global Assistance • New York, NY, US
    [job_card.full_time]
    The North American branch of Generali Global Assistance offers a diverse and inclusive work environment while employees work towards making real difference in the lives of our clients.As an Organiz...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Complex Claim Specialist, Excess and Surplus

    Complex Claim Specialist, Excess and Surplus

    AmTrust Financial • New York, New York, United States
    [job_card.full_time]
    Complex Claim Specialist, Excess and Surplus.Amtrust Financial Services, a fast growing commercial insurance company, is seeking an Excess and Surplus Complex Commercial Claims Adjuster.This positi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Adjustment Specialist I

    Claims Adjustment Specialist I

    MetroPlus Health Plan • New York, NY, United States
    [job_card.full_time] +1
    Claims Adjustment Specialist I.Water Street, 7th Floor, New York, NY 10004 .New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege.If you have co...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CA Senior WC Claims Specialist

    CA Senior WC Claims Specialist

    CorVel • Brooklyn, NY, US
    [job_card.full_time]
    CA Senior WC Claims Specialist.The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Specialist II, Workers Compensation

    Claims Specialist II, Workers Compensation

    Nationwide • New York, NY, US
    [job_card.full_time]
    If you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Pro...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Workers' Compensation Claims Adjuster

    Senior Workers' Compensation Claims Adjuster

    Argonaut Management Services, Inc • New York, NY, United States
    [job_card.full_time]
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Claims Advocate

    Senior Claims Advocate

    Risk Strategies • New York, NY, US
    [job_card.full_time]
    Claims Advocate will handle large & complex client Workers Compensation, Automobile, General Liability, Management Liability and Property insurance claim matters for clients.This role is hybrid and...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Setup Specialist

    Claims Setup Specialist

    Raphael and Associates • Rutherford, NJ, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    We are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist.This entry-level role is focused on the initial setup of claims, ensuring all information...[show_more]
    [last_updated.last_updated_30]
    Complex Claim Specialist

    Complex Claim Specialist

    AmTrust Financial • New York, New York, United States
    [job_card.full_time]
    AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Complex Commercial Claims Adjuster who will directly handle general liability and professional lia...[show_more]
    [last_updated.last_updated_30] • [promoted]
    MULTI-LINE ADJUSTER - WASHINGTON

    MULTI-LINE ADJUSTER - WASHINGTON

    Property Claim Professionals • Staten Island, NY, US
    [job_card.full_time]
    A national independent insurance adjusting firm has immediate openings for Multi-Line Claims adjusters that possess the ability to work remotely and have the experience to handle both property and ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Work Comp Claims Negotiator

    Work Comp Claims Negotiator

    Sedgwick • New York, NY, US
    [job_card.full_time]
    By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Insurance Claims Adjuster

    Insurance Claims Adjuster

    Diedre Moire Corp. • Greenburgh, NY, US
    [job_card.full_time]
    Bodily Injury Claims Adjuster - Greenburgh, NY Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily Injury Physical Injury Litigation _.Manage, investigate and...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Complex Claims Adjuster-Mass Tort

    Senior Complex Claims Adjuster-Mass Tort

    AIG Insurance • Jersey, New Jersey, USA
    [job_card.full_time]
    Casualty Coverage and Mass Tort Senior Claims Adjuster.At AIG we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage and Mass Tort Senior Claims Adjuster to play...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Sr. Claims Adjuster, Worker's Compensation

    Sr. Claims Adjuster, Worker's Compensation

    CopperPoint Insurance Companies • New York, NY, US
    [job_card.full_time]
    Claims Adjuster, Worker's Compensation.CopperPoint Insurance Company has an exciting opportunity for a full-time remote Sr. Claims Adjuster, Worker's Compensation.Claims Adjuster, Worker's Compensat...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Trade Credit Complex Claims Adjuster

    Trade Credit Complex Claims Adjuster

    AIG Insurance • Jersey, New Jersey, USA
    [job_card.full_time]
    At AIG we are reimagining the way we help customers to manage risk.Its an opportunity to grow your skills and experience as a valued member of the team. Our Claims teams are the proven problem solve...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Trade Credit Complex Claims Adjuster

    Trade Credit Complex Claims Adjuster

    AIG • Jersey City, NJ, US
    [job_card.full_time]
    Trade Credit Complex Claims Analyst.At AIG, we are reimagining the way we help customers to manage risk.Join us as a Trade Credit to play your part in that transformation.It's an opportunity to gro...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]