workers' compensation claims specialist

CorVel Corporation

<div><p>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.</p>
<p>
This is a remote position.</p>
<p><b>
ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:</b></p>
<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><br>
<p></p>
<p><b>
KNOWLEDGE &amp; SKILLS:</b></p>
<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><br>
<p></p>
<p><b>
EDUCATION &amp; EXPERIENCE:</b></p>
<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><br>
<p></p>
<p><b>
PAY RANGE:</b></p>
<p>
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.</p>
<p>
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.</p>
<p>
Pay Range: $29.35 - $47.28 per hour</p>
<p>
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management</p>
<p>
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.</p><br>
<p></p>
<p><b>
ABOUT CORVEL:</b></p>
<p>
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!).</p>
<p>
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.</p>
<p><b>
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.</b></p>
<p>
#LI-Remote</p></div>

CA Senior WC Claims Specialist

Liberty Mutual Insurance

<div><b>Description
</b><div><p><b>Ready to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers' Compensation Claims Specialists in our Northeast Region to help injured workers navigate the claims process and return to work with confidence.</b></p><p></p><p><br>
We&rsquo;re hiring across multiple levels&mdash;Associate Claims Specialist, Claims Specialist I, and Claims Specialist II&mdash;depending on your experience. The salary range posted reflects the varying pay scale across various locations.</p><p></p><p><br>
In this role, you&rsquo;ll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes. You&rsquo;ll collaborate closely with claimants, policyholders, attorneys, and partners throughout the claim lifecycle.</p><p></p><p><b><br>
Training is a critical component of your success, and that success starts with reliable attendance and active engagement. Training will include 1 week of travel to our Plano, TX office in July.</b></p><p><br>
<br>
<b>This role is remote within the Northeast region. Candidates must reside in Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. Candidates residing within 50 miles of our offices in Weatogue, Connecticut, or Westborough, Massachusetts, will be expected to work onsite up to two days per month. On-site expectations may evolve based on business needs.</b></p><p></p><p><b><br>
Responsibilities</b></p><ul><li>
Manages an inventory of claims to evaluate compensability/liability.</li><li>
Establishes action plans based on case facts, best practices, protocols, regulatory issues, and available resources.</li><li>
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages.</li><li>
Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary, during the processing of the claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate.</li><li>
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.</li><li>
Performs other duties as assigned.</li></ul></div><b>
Qualifications</b><div><ul><li>
Effective interpersonal, analytical and negotiation abilities required</li><li>
Ability to provide information in a clear, concise manner with an appropriate level of detail</li><li>
Demonstrated ability to build and maintain effective relationships</li><li>
Demonstrated success in a professional environment; success in a customer service/retail environment preferred</li><li>
Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent</li><li>
Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory</li><li>
Licensing may be required in some states</li><li>
</li></ul></div><b>
About Us</b><p><b>
Pay Philosophy:</b> The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.</p><p></p><p><br>
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.</p><p></p><p><br>
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits<br>
<br>
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.<br>
<br>
<b>Fair Chance Notices</b></p><ul><li>
California</li><li>
Los Angeles Incorporated</li><li>
Los Angeles Unincorporated</li><li>
Philadelphia</li><li>
San Francisco</li></ul></div>

Associate Claims Specialist - Workers Compensation - Northeast Region

<div><p>The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.</p>
<p>
 This is a remote position.</p>
<p><b>
ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:</b></p>
<ul>
<li>Receives claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex and non-problematic medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional duties as assigned</li></ul><br>
<p></p>
<p><b>
KNOWLEDGE &amp; SKILLS:</b></p>
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly 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 meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul><br>
<p></p>
<p><b>
EDUCATION &amp; EXPERIENCE:</b></p>
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>State Certification as an Experienced Examiner</li></ul><br>
<p></p>
<p><b>
PAY RANGE:</b></p>
<p>
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.</p>
<p>
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.</p>
<p>
Pay Range: $52,999 &ndash; $85,473</p>
<p>
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management</p>
<p>
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.</p><br>
<p></p>
<p><b>
ABOUT CORVEL</b></p>
<p>
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!).</p>
<p>
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.</p>
<p><b>
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.</b></p>
<p>
#LI-Remote</p></div>

Claims Specialist

<div>
 The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
 <br/>
 <br/>
 This is a remote position.
 <br/>
 <br/>
 <strong>
  Essential Functions &amp; Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Receives claims, confirms policy coverage and acknowledgment of the claim
  </li>
  <li>
   Determines validity and compensability of the claim
  </li>
  <li>
   Establishes reserves and authorizes payments within reserving authority limits
  </li>
  <li>
   Manages non-complex and non-problematic medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision
  </li>
  <li>
   Communicates claim status with the customer, claimant and client
  </li>
  <li>
   Adheres to client and carrier guidelines and participates in claims review as needed
  </li>
  <li>
   Assists other claims professionals with more complex or problematic claims as necessary
  </li>
  <li>
   Additional duties as assigned
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Knowledge &amp; Skills
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Excellent written and verbal communication skills
  </li>
  <li>
   Ability to learn rapidly 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 meet or exceed performance competencies
  </li>
  <li>
   Ability to work both independently and within a team environment
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Education &amp; Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor's degree or a combination of education and related experience
  </li>
  <li>
   Minimum of 1 year of industry experience and claims management preferred
  </li>
  <li>
   State Certification as an Experienced Examiner
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Pay Range
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 Pay Range: $52,999 &ndash; $85,473
 <br/>
 <br/>
 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 <strong>
  About Corvel
  <br/>
  <br/>
 </strong>
 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!).
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 <strong>
  CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
  <br/>
  <br/>
 </strong>
</div>


CA Senior Claims Specialist

The GEO Group, Inc.

<div>Benefits Information:
<p>
Full-time employees will enjoy a competitive benefits package with options for you and your family including:</p><div><div><ul><li>Paid Time Off</li></ul><ul><li><br>
Paid Holidays</li></ul></div><div><ul><li><br>
401(k) Matching</li></ul><ul><li><br>
Health Insurance</li></ul></div><div><ul><li><br>
Vision Insurance</li></ul><ul><li><br>
Life Insurance</li></ul></div><div><ul><li><br>
Health Savings Account</li></ul><ul><li><br>
Tuition Reimbursement</li></ul></div><div><ul><li><br>
Employee Discount</li></ul><ul><li><br>
Reduced Tuition Rates</li></ul></div><div><ul><li><br>
Disability Insurance</li></ul><ul><li><br>
Employee Assistance Program</li></ul></div><div><ul><li><br>
401(k)</li></ul><ul><li><br>
Pet Insurance</li></ul></div><div><ul><li><br>
Dental Insurance</li></ul><ul><li><br>
Paid Training</li></ul></div><div><ul><li><br>
Flexible Spending Account</li></ul></div></div><p></p><p><br>
The compensation and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law.</p><p><b>
Equal Opportunity Employer</b></p>
Overview:
<div>
Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation.</div><div><b>
Who We Are:</b></div><div>
GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes.</div><div><b>
Why Work for GEO:</b></div><ul><li>
We believe that work is more than a place you go to every day. It is about being inspired and motivated to achieve extraordinary things.</li><li>
Employee benefits play an important role in making The GEO Group a great place to work. At GEO, we believe in the three pillars of employee wellbeing: physical, emotional, and financial. With comprehensive benefits and competitive wages, we trust that you will find all the resources you need here to be successful.</li></ul>
Responsibilities:
<div><b>
Summary</b></div><div>
Under minimal supervision, this position investigates Workers' Compensation (WC) claims and Auto Liability claims and reports, and information provided to third-party administrators to ensure compliance with federal and state regulations and organizational policies. Monitors claim activities to conclusion in effort to reduce the financial impact to the organization.</div><div></div><div><b><br>
Primary Duties and Responsibilities:</b></div><ul><li>
Prepares, reviews, and submits reports regarding claims for Worker&rsquo;s Compensation and Auto Liability.</li><li>
Verifies data received from facilities, finance, and payroll departments for submission to insurance carriers on workers&rsquo; compensation.</li><li>
Coordinates and monitors the activity of vendor partners as it relates to individual claim outcomes.</li><li>
Monitors, maintains, and reviews all claims in designated states for timely and accurate reporting including, but not limited, to employee status, case reserving and litigated status.</li><li>
Maintains the Occupational Safety and Health Administration (OSHA) log module in Risk Management Information System (RMIS).</li><li>
Prepares, maintains and coordinates a variety of information with third party administrators including outstanding medical bills, employee lost time, employee return to work, and compensation data.</li><li>
Completes and maintains all forms and documents related to Workers' Compensation and Auto Liability.</li><li>
Works closely with the Human Resources Department and Director, Risk Management to assist in early claims reporting and for designated claims that are in the litigation process.</li><li>
Assists and participates in claims file audits.</li><li>
Assists and monitors the Modified Duty Program and all associated costs.</li><li>
Performs other duties as assigned.</li></ul>
Qualifications:
<div><b>
Minimum Requirements:</b></div><ul><li>
High school diploma or equivalent. Bachelor&rsquo;s degree desirable.</li><li>
Two (2) years of experience in <b>Workers' Compensation</b> claims management.</li><li>
Proficient with claims database applications.</li><li>
Demonstrated knowledge of claims adjusting principles and practices with emphasis on multiple-state WC law.</li><li>
Excellent verbal and writing skills.</li><li>
Demonstrate strong organizational and time-management skills.</li><li>
Ability to work with computers and the necessary software applications used by the department.</li></ul><div>
The GEO Group, Inc</div>
Pay: Pay USD $26.44/Hr. to USD $28.84/Hr.</div>

CLAIMS SPECIALIST

Search 8258+ Workers' compensation claims specialist jobs near you this June. New roles added regularly across leading industries. Apply today.

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