Due to our continued success and growth as a company, we are searching for qualified candidates to become a member of our claims team.

CorVel is a national provider of industry-leading workers' compensation solutions for employers, third party administrators, insurance companies, and government agencies. Our continual investments in technology and human capital enable us to deliver the most innovative, integrated solutions. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities.

Manage within company standards and best practices complex and problematic high visibility workers' compensation claims within the delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim.

Duties:

• Receives claim, confirms coverage and acknowledgment of the claim
• Determine validity and compensability of the claim by investigating and gathering information regarding the claim and the file necessary documentation with the State of New York
• Establish reserves and authorize payments within reserving authority limits
• Develop and manage well-documented action plan with the case manager, attorney, supervisor, and client to reduce the overall cost of the claim
• Coordinating early return-to-work efforts with the case manager and employer
• Negotiates settlements when necessary
• Actively manage the litigation process
• Identifies potential subrogation claims
• Communicate claim status with the customer and claimant
• Adhere to client guidelines and participate in claims review as needed
• Develops and maintains professional customer relationships

Education, Knowledge & Skills

• Excellent oral and written communication skills
• Effective analytical and interpretive skills
• Strong organizational skills
• Great interpersonal skills
• Ability to work in a team environment and independently
• Knowledge of the entire claims administration, case management, and cost containment solution as applicable to Workers' Compensation for the State of New York
• Thorough knowledge of appropriate insurance principles and laws for workers' compensation recoveries and offsets

Experience

• Five years of Workers' Compensation claims management experience preferred

Application Instructions:

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, age, sex, gender, religion, national origin, ancestry, citizenship status, physical or mental disability, military service, veteran status or any other characteristic protected by applicable federal, state or local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this application or to participate in an interview, please let us know.

Note to Employment Agencies: Please do not forward agency resumes. CorVel Corporation is not responsible for any fees related to unsolicited resumes.

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