senior claims specialist

CorVel Corporation

<div>The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This is a remote role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives claim, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim</li>
<li>Coordinates early return-to-work efforts with the appropriate parties</li>
<li>Manages subrogation and litigation of claim as it applies</li>
<li>Manages potential claim recoveries of all types</li>
<li>Reports claims to the excess carrier when applicable</li>
<li>Communicates claim status with the customer and claimant</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Develops and maintains professional customer relationships</li>
<li>Complies with rules and regulations of applicable state</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to assist team members to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to work both independently and within a team environment</li>
<li>Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers&rsquo; Compensation</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 6 years&rsquo; industry experience and claim handling</li>
<li>Self-Insured Certificate preferred</li>
<li>State Certification as an experienced Examiner</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $61,053 - $98,334

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Senior Claims Specialist - NY

<div>The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claim, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim</li>
<li>Coordinates early return-to-work efforts with the appropriate parties</li>
<li>Manages subrogation and litigation of claim as it applies</li>
<li>Manages potential claim recoveries of all types</li>
<li>Reports claims to the excess carrier when applicable</li>
<li>Communicates claim status with the customer and claimant</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Develops and maintains professional customer relationships</li>
<li>Complies with rules and regulations of applicable state</li>
<li>Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (&ldquo;IIPP&rdquo;)</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to assist team members to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to work both independently and within a team environment</li>
<li>Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers&rsquo; Compensation</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 3 years&rsquo; industry experience and claim handling</li>
<li>Self-Insured Certificate preferred</li>
<li>State Certification or license as an experienced claims adjuster</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $29.35 - $47.28 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

CA Senior Claims Specialist

Marsh McLennan

<div><h2 class="jobSectionHeader">Company:</h2>
<h2 class="jobSectionHeader">Description:</h2>
WORKER&rsquo;S COMPENSATION - SENIOR CLAIMS SPECIALIST
DEPARTMENT: CLAIMS
STATUS: EXEMPT
EMPLOYEE TYPE: FULL-TIME
LOCATION: VAN NUYS
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn&rsquo;t happen overnight. It&rsquo;s a result of hard work by extraordinary people. More than 9,000 of the industry&rsquo;s brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Worker&rsquo;s Compensation &ndash; Senior Claims Specialist at Momentous Insurance, A Marsh McLennan Agency.
Momentous Insurance, A Marsh McLennan Agency provides commercial insurance, commercial entertainment, film and tv insurance, employee health &amp; benefits insurance, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With 9,000 colleagues and 170 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world&rsquo;s leading professional services firm, Marsh (NYSE: MRSH).
A day in the life.
As our Worker&rsquo;s Compensation &ndash; Senior Claims Specialist (SCS) in the Claims Department, you will be responsible for the following:
The primary function of this position is to provide claims&rsquo; advocacy for our clients and Business Managers. The ideal candidate will have exemplary customer service abilities, a keen eye for detail and a strong organizational mindset. Armed with expertise and empathy, you will be responsible for managing and processing claims for our clients, ensuring accuracy, efficiency and a superior service. You will be expected to manage a caseload of claims, which will include reviewing documentation and insurance policies and bring claims to a resolution in a satisfactory and timely manner. You will maintain detailed and accurate claim files in compliance with regulatory requirements and company policies. The SCS will collaborate with internal teams, management and insurance carriers, as necessary to facilitate claim resolution. In a fast-paced industry where no two days are alike, the SCS navigates challenges with grace, integrity, and a steadfast commitment to excellence.
Our future colleague.
We&rsquo;d love to meet you if your professional track record includes these skills:
<ul><li>A strong understanding of insurance principles, policies and regulations.</li>
<li>Excellent communication and interpersonal skills, with the ability to interact effectively with a diversity of individuals.</li>
</ul><ul><li>An ability to establish and develop methods to keep the evolution of claims statuses updated.</li>
<li>Strong analytical and problem-solving skills, with the ability to assess complex situations and make sound decisions.</li>
<li>Exceptional organizational and time management abilities, with a demonstrated track record of managing multiple priorities and deadlines.</li>
<li>You will be expected to work with the Claims&rsquo; Team Leader to assist with general daily duties which may include:</li>
<li>Determining claim liabilities, value, and service provider fees, subrogation matters.</li>
<li>Assisting and facilitating the appropriate service partner to defend insured and quantify liability and damages.</li>
<li>Notifying insurers when a file exceeds specific criteria set by each insurer (such as cost, claim type, or complexity) to keep insurers briefed on what Claims may be of high concern to them.</li>
<li>Developing final reports summarizing lifecycle of a claim, such responding to loss requests.</li>
<li>Monitoring claim files and obtain routine status updates, including providing regular status updates to service teams. Respond to requests for updates or questions form the services team or clients in a timely manner.</li>
<li>Pursue programs for personal and professional development.</li>
<li>Collaborating with the Claims&rsquo; Team to maintain a professional and successful department contributing to the organization's overall success.</li>
</ul>These additional qualifications are a plus, but not required to apply:
<ul><li>College Degree preferred (high school diploma is required).</li>
<li>5+ years of experience in property and casualty claims.</li>
<li>Property &amp; Casualty license preferred.</li>
<li>Proficient MS Office Suite (Word, Excel, Outlook)</li>
<li>Applied EPIC AMS knowledge preferred.</li>
</ul>We know there are excellent candidates who might not check all of these boxes. Don&rsquo;t be shy. If you&rsquo;re close, we&rsquo;d be very interested in meeting you.
Work environment &amp; physical demands.
<ul><li>Ability to use computer keyboard and sit in a stationary position for extended periods as well as use office machinery such as fax and copy machines, and telephones.</li>
</ul><ul><li>Work is performed in a typical interior/office work environment.</li>
</ul>Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside our organization. We&rsquo;ve built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.
Some benefits included in this role are:
<ul><li>Generous time off</li>
<li>Tuition reimbursement and professional development opportunities</li>
<li>Charitable contribution match programs</li>
<li>Stock purchase opportunities.</li>
</ul>To learn more about a career at MMA, check us out online: http://marshmma.com/careers or flip through our recruiting brochure: https://www.flipsnack.com/BB9CD8DD75E/limitless-opportunities
Follow us on social media to meet our colleagues and see what makes us tick:
<ul><li>https://www.instagram.com/lifeatmma/
</li><li>https://www.facebook.com/LifeatMMA
</li><li>https://twitter.com/LifeatMMA
</li><li>https://www.linkedin.com/company/marsh-mclennan-agency/
</li></ul>The applicable base salary range for this role $68,970 to $160,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
Who you are is who we are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EEO Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#LI-DNI
#LI-Remote
#LI-hybrid
#LI-onsite
<h3 class="jobSectionHeader">The applicable base salary range for this role is $59,700 to $111,200.
</h3><h3 class="jobSectionHeader">The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.</h3></div>

Worker's Compensation - Senior Claims Specialist

Great American Insurance Group

<div>Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
Essential Job Functions and Responsibilities<ul><li>
Manages a large inventory of highly complex claims to evaluate compensability/liability.</li><li>
Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages.</li><li>
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.</li><li>
Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners.</li><li>
Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.</li><li>
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.</li><li>
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.</li><li>
Performs other duties as assigned.</li></ul>
Job Requirements<h3 class="jobSectionHeader">
Education: Bachelor&rsquo;s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.</h3><h3 class="jobSectionHeader">
Experience: Generally, a minimum of 13 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).</h3><h3 class="jobSectionHeader">
Scope of Job/Qualifications: Works at the highest authority limits on assignments of the highest technical complexity and coordination. Excellent analytical, negotiation, and problem-solving skills. Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures. Maintains and leverages knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Recognized as a subject matter expert within the company, potentially operating at a peer level to management.</h3>
Business Unit:
Ocean Marine 
Salary Range:
$0.00 -$0.00
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. 
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.<ul><li> 
Excludes seasonal employees and interns.</li></ul></div>

Senior Claims Specialist-Ocean Marine

CA Senior WC Claims Specialist

SIXT

<div>Job Description 
We are seeking a Senior Subrogation Claims Specialist to be part of the newly established in-house subrogation team specializing in high-value claims (&gt;$10K) and total losses. Reporting to the Senior Manager of Subrogation Claims, you will manage complex subrogation cases, ensure adherence to compliance standards, and drive recovery performance.
Your Role At SIXT
Claims Handling<ul><li>
You investigate and manage high-value subrogation claims, including total loss cases, ensuring compliance with laws and policies</li><li>
You assess liability and pursue recovery through negotiations, arbitration, or other dispute resolution methods</li><li>
You prepare detailed claim summaries and provide regular updates in the claims management system</li></ul>
Process Improvement<ul><li>
You identify workflow inefficiencies and recommend enhancements to improve recovery rates and reduce cycle times</li><li>
You collaborate with team members and management to establish best practices for subrogation claims</li></ul>
Vendor Collaboration<ul><li>
You coordinate with external vendors and debt collection agencies for outsourced claims support</li><li>
You review and audit vendor performance to ensure quality standards and adherence to service agreements</li></ul>
Data and Reporting<ul><li>
You document case progress, generate reports, and monitor KPIs to support departmental goals and initiatives</li></ul>
Your Skills Matter<ul><li>
Experience You have 3+ years of experience in subrogation claims and laws or a related field with familiarity with rental car damage recovery (preferred) and a demonstrated expertise in handling high-value claims and total loss cases</li><li>
Education You have a bachelor&rsquo;s degree in risk management, Business Administration, a concentration in insurance or a related field (preferred)</li><li>
Technical Proficiency You are experienced and proficient in claims management systems (Arbs Forums, E-Subro Hub, Accurint, and/or LexisNexis)</li></ul><ul><li>
Soft Skills You are a flexible problem solver with excellent troubleshooting skills to address and resolve issues efficiently. You are a self-starter with strong negotiation, problem-solving, decision-making abilities</li><li>
Commitment to Excellence You consistently meet or exceed recovery targets and ensure timely and accurate handling of claims, contributing to team efficiency
</li><li>Work Authorization You do not now, or in the future, require sponsorship and are authorized to work in the US</li></ul>
What We Offer<ul><li>
Comprehensive Health Insurance Access healthcare coverage (medical, dental, vision), life insurance, critical illness, hospital indemnity, pet insurance, and a 401k retirement plan</li><li>
Paid Time Off &amp; Sick Leave Enjoy PTO, sick leave, floating paid holidays and a healthy work-life balance</li><li>
Hybrid Work Format - 4/1 format</li><li>
Exclusive Employee Rentals Leverage special rental discounts exclusive to employees, offering great savings for you, friends, and family</li><li>
Additional Perks Experience the advantages of working in a cutting-edge office in Downtown Tulsa, working in a dynamic work environment, and ample opportunities for professional advancement</li></ul> 

Additional Information<div></div> 
About us:
We are a globally leading mobility service provider with a revenue of &euro;4.00 billion and around 9,000 employees worldwide. Our mobility platform ONE combines our products SIXT rent (car rental), SIXT share (car sharing), SIXT ride (taxi, ride, and chauffeur services), and SIXT+ (car subscription), giving our customers access to our fleet of 350,000 vehicles, the services of 4,000 cooperation partners, and around 5 million drivers worldwide. Together with our franchise partners, we are present in more than 110 countries at 2,000 rental stations. At SIXT, top-tier customer experience and outstanding customer service are our highest priorities. We believe in true entrepreneurship and long-term stability and align our corporate strategy with foresight. Get started with us and apply now!</div>

Senior Subrogation Claims Specialist

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Worker's Compensation - Senior Claims Specialist

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CA Senior WC Claims Specialist

Senior Subrogation Claims Specialist