Talent.com
CorVel
Senior Claims SpecialistCorVel • Las Vegas, NV, United States
No longer accepting applications
Senior Claims Specialist

Senior Claims Specialist

CorVel • Las Vegas, NV, United States
12 days ago
Salary
$61,053.00 yearly
Job type
  • Full-time
Job description

WC Senior Claims Specialist

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a hybrid position.

Essential Functions & Responsibilities:

  • Receives Workers' Compensation claim, confirms policy coverage and acknowledgement of the claim
  • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
  • Establishes reserves and authorizes payments within reserving authority limits
  • Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
  • Coordinates early return-to-work efforts with the appropriate parties
  • Manages subrogation and litigation of claim as it applies
  • Manages potential claim recoveries of all types
  • Reports claims to the excess carrier when applicable
  • Communicates claim status with the customer and claimant
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Develops and maintains professional customer relationships
  • Complies with rules and regulations of applicable state
  • Additional duties as assigned

Knowledge & Skills:

  • 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 with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to work both independently and within a team environment
  • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation

Education & Experience:

  • 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

Pay Range: $61,053 $98,334

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.

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, 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, and paid time off.

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

Create a job alert for this search

Senior Claims Specialist • Las Vegas, NV, United States

Similar jobs

Claim Manager - Workers' Compensation - Las Vegas (Hybrid)

CCMSILas Vegas, NV, United States
Full-time

Claim Manager Workers' CompensationLocation: Las Vegas, NV HybridSchedule: MondayFriday (Hybrid: on-site presence required weekly; travel required as needed)Salary Range: $100,000$125,000Build Your... Show more

 • Promoted

Inside Sales Insurance Specialist

AMBAHenderson, NV, United States
Full-time

Inside Sales Insurance Specialist.Position at AMBA Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation: Hourly base plus performance bonuses License: Life ... Show more

 • Promoted

Workers' Compensation Claim Supervisor

CCMSILas Vegas, NV, United States
Full-time

Workers' Compensation Claim Supervisor.Location: Las Vegas, NV or Irvine, CA (whichever is closest for the employee) Schedule: 8:00 am - 4:30 pm (PST) Hybrid schedule after initial training.Salary ... Show more

 • Promoted

Field Claims Specialist III, Property (Flex Claims Professional)

NationwideLas Vegas, NV, United States
Full-time

Field Claims Specialist, Property.If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating... Show more

 • Promoted

Dir Claims

IconmaLas Vegas, NV, United States
Full-time

Our client, a Business Solutions company, is looking for a Dir Claims for their Las Vegas, NV/ Hybrid location.To be responsible for the technical and operational functions within assigned office(s... Show more

 • Promoted

Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims

Liberty Mutual Insurance GroupLas Vegas, NV, United States
Full-time

At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling you to connect and... Show more

 • Promoted

Claims Specialist, Workers Compensation - West Region

Liberty Mutual Insurance GroupLas Vegas, NV, United States
Full-time

Workers Compensation Claims Specialist.Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an e... Show more

 • Promoted

Claim Examiner I

AmTrust Financial ServicesLas Vegas, NV, United States
Full-time

Assigned to Worker's Compensation claims, the Adjuster I is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation and ... Show more

 • Promoted

Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster

Liberty Mutual Insurance GroupLas Vegas, NV, United States
Full-time

Claims SpecialistAt Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling y... Show more

 • Promoted

Claims Examiner I

MarkelHenderson, NV, United States
Full-time

Claims AdjusterWhat part will you play? If you're looking for a place where you can make a meaningful difference, you've found it.The work we do at Markel gives people the confidence to move forwar... Show more

 • Promoted

Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster

Liberty Mutual Insurance GroupLas Vegas, NV, United States
Full-time

At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling you to connect and... Show more

 • Promoted

ESIS Claims Team Leader, WC

ChubbLas Vegas, NV, United States
Full-time

Workers' Compensation Claims Supervisor.Are you interested in building your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where ... Show more

 • Promoted

Liability Zone Leader - West

AllianzLas Vegas, NV, United States
Full-time +1

The North American Liability team offers a wide range of liability insurance solutions.These include National Accounts Excess, Multinational, Reverse Flow, Environmental Liability and some Primary ... Show more

 • Promoted

Dir Claims

MindlanceLas Vegas, NV, United States
Full-time

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?.PRIMARY PURPOSE: To be responsible... Show more

 • Promoted

Ancillary Specialist- Remote

Las Vegas StaffingLas Vegas, NV, United States
Remote
Full-time +1

Ancillary SpecialistDriveTime Family of Brands includes SilverRock, which provides quality warranty and ancillary products, and a customer-friendly claims process.SilverRock offers a variety of anc... Show more

 • Promoted

Senior Licensing Specialist

TerriblesLas Vegas, NV, United States
Full-time

Senior Licensing SpecialistWe are seeking a highly skilled and experienced Senior Licensing Specialist to join our dynamic finance team.This individual will be responsible for preparing, submitting... Show more

 • Promoted

ESIS Senior Claims Representative, WC

ChubbLas Vegas, NV, United States
Full-time

Job DescriptionAre you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help... Show more

 • Promoted

Claims Examiner I

MagnacareLas Vegas, NV, United States
Full-time

Claims Adjudication Specialist.Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication standards on a daily basis, ensuring compliance with quality, productivit... Show more

 • Promoted

General Liability Senior Technical Specialist

TravelersLas Vegas, NV, United States
Full-time

Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims.Provi... Show more

 • Promoted

APD - Rideshare Commercial Claims Auto Physical Damage Adjuster

Liberty Mutual Insurance GroupLas Vegas, NV, United States
Full-time

Commercial Insurance Claims Representative.At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-perso... Show more