CA Liability Claims Specialist

CorVel Corporation•Rancho Cucamonga, CA

22h•$25 - $41•Remote

About The Position

The Liability Claims Specialist manages non-complex and non-problematic liability claims under the direct supervision of a senior claims professional. The role handles litigated files with delegated limited authority and follows company best practices, aiming to achieve optimal outcomes for CorVel and its clients. The position is remote. The specialist manages medical-only and minor lost-time liability claims under close supervision; receives claims and confirms policy coverage; assesses claim validity and compensability; establishes reserves and authorizes payments within assigned authority limits; and communicates claim status to customers, claimants, and clients. The role also follows client and carrier guidelines, participates in claims reviews as needed, collaborates with team members on more complex or problematic claims, and complies with safety rules and the Injury and Illness Prevention Program. Other duties may be assigned.

Requirements

Current adjuster's license in the state of operation.
Excellent written and verbal communication skills.
Ability to learn rapidly and develop knowledge and understanding of claims practice.
Ability to identify, analyze, and solve problems.
Computer proficiency and technical aptitude, including the ability to use Microsoft Office and Excel spreadsheets.
Strong interpersonal, time management, and organizational skills.
Ability to meet or exceed performance expectations.
Ability to work independently and within a team environment.

Nice To Haves

Minimum of 1 year of industry experience and claims management experience preferred.
Bachelor's degree, or a combination of education and related experience.
Multi-state adjuster license preferred.

Responsibilities

Manage non-complex and non-problematic medical-only claims and minor lost-time liability claims under close supervision.
Receive claims, confirm policy coverage, and acknowledge the claim.
Determine claim validity and compensability.
Establish reserves and authorize payments within reserving authority limits.
Communicate claim status with the customer, claimant, and client.
Adhere to client and carrier guidelines and participate in claims reviews as needed.
Collaborate with team members on more complex or problematic claims as necessary.
Comply with safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (IIPP).
Perform additional duties as assigned.