Senior New York Claims Specialist

CorVel Corporation•Town of Salina, NY

7d•$61,053 - $98,334•Remote

About The Position

The Senior 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 while meeting customer service expectations and supporting the goals of the Claims Department and CorVel. This is a remote position. The role requires a New York state independent adjuster license. Candidates must have a bachelor’s degree or a combination of education and related experience, at least three years of industry experience and claim handling, and must maintain a current Workers’ Compensation license or certification throughout employment. A Self-Insured Certificate is preferred. The stated pay range is $61,053–$98,334. CorVel describes a comprehensive benefits package for full-time regular employees. The position is part of CorVel, a national risk management solutions provider founded in 1987 with more than 4,000 employees across the United States.

Requirements

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

Nice To Haves

Self-Insured Certificate preferred.
State certification or license as an experienced claims adjuster.

Responsibilities

Receive Workers’ Compensation claims, confirm policy coverage, and acknowledge claims.
Determine claim validity and compensability by investigating and gathering information, and file necessary 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 to the claim.
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.