CorVel Corporation
CorVel Corporation
CorVel Corporation oferă servicii integrate de gestionare a riscurilor și servicii medicale pentru asigurători și angajatori. Activitatea sa acoperă despăgubirile pentru accidente de muncă, gestionarea răspunderii și a dizabilității, rețele de furnizori și farmacii, precum și soluții alternative de gestionare a riscurilor. Compania combină expertiza în gestionarea daunelor cu tehnologia bazată pe inteligență artificială și analiza datelor pentru a contribui la simplificarea administrării, la îmbunătățirea rezultatelor îngrijirii medicale și ale daunelor și la gestionarea costurilor.

Senior Workers' Compensation Claims Specialist | California Remote

CorVel seeks a senior claims specialist to manage complex workers' compensation claims remotely from California. The role covers investigations, case coordination, recoveries, reserves, regulatory filings, and settlement negotiations.

Descriere

  • Manage complex and high-profile workers' compensation claims in line with company standards
  • Collaborate with case managers and attorneys
  • Oversee subrogation, litigation, and potential claim recoveries
  • Negotiate claim settlements
  • Receive workers' compensation claims and verify policy coverage and acknowledgments
  • Investigate claims to determine validity and compensability
  • Submit required documentation to state agencies
  • Set reserves and authorize payments within delegated authority
  • Create and manage documented action plans with case and outcomes managers to reduce claim costs
  • Coordinate early return-to-work initiatives
  • Report applicable claims to excess carriers
  • Update customers and claimants on claim status
  • Follow client, carrier, state, and regulatory requirements
  • Participate in claims reviews as needed
  • Build and maintain professional customer relationships
  • Follow workplace safety rules and regulations
  • Complete other assigned duties

Cerințe

  • Bachelor's degree or an equivalent combination of education and relevant experience
  • At least three years of industry experience, including claims handling
  • Self-Insured Certificate preferred
  • State certification or licensing as an experienced claims adjuster
  • Maintain a current workers' compensation license or certification throughout employment with CorVel
  • Strong written and verbal communication skills
  • Ability to help teammates build claims-practice knowledge
  • Ability to identify, analyze, and resolve problems
  • Proficiency with computers and technical tools, including Microsoft Office and Excel
  • Strong interpersonal, organizational, and time-management skills
  • Ability to work independently and collaboratively
  • Knowledge of workers' compensation claims administration, case management, and cost-containment solutions as applicable

Beneficii

  • Medical coverage through a high-deductible health plan with pharmacy benefits
  • Dental insurance
  • Vision insurance
  • Long-term disability coverage
  • Health Savings Account
  • Flexible Spending Account options
  • Life insurance
  • Accident insurance
  • Critical illness insurance
  • Prepaid legal insurance
  • Parking and transit Flexible Spending Accounts
  • 401(k) plan
  • Roth 401(k) plan
  • Paid time off
  • Career advancement opportunities
  • Supportive workplace culture
  • Remote work

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