Senior Workers Compensation Adjuster-Large Loss Claims

CorVel • Downers Grove, IL

130d • $59,681 - $96,123 • Remote

About The Position

The Large Loss Workers' Compensation Adjuster is responsible for managing a caseload of complex and high-exposure workers' compensation claims from initial assignment to resolution. This role requires strong technical expertise in claims handling, thorough knowledge of workers' compensation laws and regulations, and the ability to develop strategies that achieve cost-effective and fair claim outcomes. The adjuster will work closely with injured employees, employers, medical providers, attorneys, and internal stakeholders to ensure timely and accurate claim resolution. This is a remote position.

Requirements

• In-depth knowledge of workers' compensation laws, medical terminology, and claims best practices.
• Exceptional negotiation, communication, and interpersonal skills.
• Strong analytical, decision-making, and problem-solving abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with claims management systems and Microsoft Office Suite.
• Minimum 5-7 years of workers' compensation claims handling experience, with at least 3 years handling large loss/catastrophic claims.
• Multi-jurisdictional experience strongly preferred.

Nice To Haves

• Bachelor's degree preferred; equivalent work experience considered.

Responsibilities

• Handle a caseload of large loss and catastrophic workers' compensation claims, including complex medical and indemnity exposures.
• Investigate claims thoroughly to determine compensability, cause, extent of injuries, and potential for subrogation or fraud.
• Establish and maintain accurate reserves based on file exposure and claim progression.
• Develop, document, and execute claims strategies tailored to each file.
• Serve as the primary point of contact for all parties involved in the claim, including injured workers, employers, medical providers, attorneys, and internal teams.
• Provide regular status updates to stakeholders, ensuring transparency and alignment with claim objectives.
• Collaborate with internal resources such as nurse case managers, vocational experts, and legal counsel to drive claim resolution.
• Ensure claims are managed in accordance with applicable workers' compensation laws, jurisdictional requirements, and internal guidelines.
• Maintain complete, organized, and timely claim documentation within the claims management system.
• Prepare required carrier reports, correspondence, and settlement recommendations.
• Direct and oversee litigation strategy on contested claims, including selection and oversight of defense counsel.
• Attend mediations, hearings, and settlement conferences as needed.
• Identify opportunities to control claim costs through proactive management and early intervention.
• Monitor and manage large loss exposures to protect company assets.
• Participate in file reviews and provide insight into loss trends, reserving practices, and improvement opportunities.

Benefits

• 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
• Paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree