Senior New England Claims Specialist

CorVel Corporation•Village of North Syracuse, NY

7d•$61,053 - $98,334•Remote

About The Position

The Senior New England Claims Specialist handles complex and high-profile Workers’ Compensation claims in accordance with company standards. The role works closely with case managers and attorneys, manages subrogation, and negotiates settlements to achieve the best possible claim outcomes, meet customer service expectations, and support the goals of the Claims Department and CorVel. This is a remote role. A CT, MA, NH, or RI license and/or experience is required; ME and VT license and experience are preferred.

Requirements

CT, MA, NH, or RI license and/or experience required.
Bachelor’s degree or a combination of education and related experience.
Minimum of 3 years of industry experience and claim handling.
State certification or license as an experienced claims adjuster.
Current Workers’ Compensation license or certification must be maintained throughout employment with CorVel.
Excellent written and verbal communication skills.
Ability to assist team members in developing claims-practice knowledge and understanding.
Ability to identify, analyze, and solve problems.
Computer proficiency and technical aptitude, including ability to use Microsoft Office and Excel spreadsheets.
Strong interpersonal, time-management, and organizational skills.
Ability to work independently and in a team environment.
Knowledge of the entire claims administration, case management, and cost-containment solution as applicable to Workers’ Compensation.

Nice To Haves

ME and VT license and experience preferred.
Self-Insured Certificate preferred.

Responsibilities

Receive Workers’ Compensation claims, confirm policy coverage, and acknowledge the claim.
Determine claim validity and compensability through investigation and information gathering, and file required documentation with state agencies.
Establish reserves and authorize payments within reserving authority limits.
Develop and manage documented action plans with the case manager and outcomes manager to reduce overall claim costs.
Coordinate early return-to-work efforts with appropriate parties.
Manage subrogation and litigation as applicable.
Manage potential claim recoveries of all types.
Report claims to the excess carrier when applicable.
Communicate claim status to customers and claimants.
Adhere to client and carrier guidelines and participate in claims reviews as needed.
Develop and maintain professional customer relationships.
Comply with applicable state rules and regulations.
Perform additional duties as assigned.