Top 3456 Senior claims specialist Jobs

Senior Workers' Compensation Claims Specialist
CorVel Corporation —Downers Grove, IL
- $61,053 - $98,334 a year
- Full-time
- Hybrid work
- Computer literacy
- Mid-level
- 3 years
- Health savings account
- Disability insurance
Quick Apply
9d
Senior Claims Specialist - Healthcare Liability
Gallagher Bassett —Houston, TX
- $73,000 - $175,000 a year
- Full-time
- Remote
- Bachelor's degree
- Senior level
- 2 years
- Paid parental leave
- Health savings account
Senior Complex Claims Specialist - Commercial Liability
Gallagher Bassett —Houston, TX
- $73,000 - $150,000 a year
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Bachelor's degree
- Paid parental leave
- Health savings account
9d
Senior Claims Specialist (Professional Liability) (Full-Time) (Remote)
Career Developers —Berkeley Heights, NJ
- $150,000 - $190,000 a year
- Full-time
- Hybrid work
- 6 years
- Analysis skills
- Travel
Quick Apply
11d
Senior Account Reimbursement Specialist (Medicare: Claims/Billing/Insurance Follow Up/Denials) - REMOTE
Vanderbilt University Medical Center —Nashville, TN
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health insurance
Senior Individual Disability Claims Specialist (Remote)
Guardian Life Insurance Company —Pittsfield, MA
- $80,610 - $132,435 a year
- Email
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Senior Medical Billing & Coding Specialist
The Talcott Center for Child Development —Farmington, CT
- $90,000 - $110,000 a year
- Full-time
- 3 years
- High school diploma or GED
- Analysis skills
- Health insurance
- Paid time off
Quick Apply
Case Management Nurse - Oncology or Transplant Experience
Innovative Care Management, Inc. —Idaho
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
Senior Global Benefits Specialist
Fuller Technologies —Allentown, PA
- $90,000 - $140,000 a year
- Full-time
- HIPAA
- English
- Finance
- Parental leave
Quick Apply
Senior Medical Coding Specialist
Choices Women's Medical Center —Jamaica, NY
- From $85,000 a year
- Part-time
- Surgery
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Claims Adjuster Senior - Litigation
Progressive —Anchorage, AK
- $74,000 - $105,000 a year
- Hybrid work
- Office
- US work authorization
- Organizational skills
- Health savings account
- Disability insurance
Case Management Nurse - Oncology or Transplant Experience
Innovative Care Management, Inc. —Iowa
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
Property Manager - Project Based Secction 8 - Senior and Disabled
Boisclair Corporation —Bloomington, MN
- $63,000 - $66,000 a year
- Full-time
- Background check
- Microsoft Excel
- Customer service
- Health savings account
- Health insurance
Quick Apply
Human Resources Manager
Hero Logistics —Blue Springs, MS
- $75,165.52 - $85,457.40 a year
- Full-time
- 5 years
- Research
- Office
- Paid jury duty
- Health insurance
Quick Apply
13d
Medicare Accounts Receivable Billing Representative
Total Orthopedics & Sports Medicine —Syosset, NY
- $25 - $28 an hour
- Full-time
- Mid-level
- Office
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
5d
Senior Benefits & Leave Specialist
Eastern Propane —Rochester, NH
- Full-time
- HIPAA
- Office
- Military encouraged
- Paid holidays
- Dental insurance
Quick Apply
8d
Senior Accounting Specialist
Bonchon Franchise LLC —Dallas, TX
- $85,000 - $90,000 a year
- Full-time
- Writing skills
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
10d
Case Management Nurse - Oncology or Transplant Experience
Innovative Care Management, Inc. —Arizona
- Full-time
- Remote
- Background check
- Nursing
- RN License
- Health insurance
Material Damage Appraiser
NODAK INSURANCE COMPANY —Devils Lake, ND
- Full-time
- Background check
- Clean driving record
- 5 years
- Health savings account
- Disability insurance
11d
Senior Payroll Specialist
Home Instead - WCSC —Green Bay, WI
- $55,000 - $60,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
12d

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Senior Workers' Compensation Claims Specialist

CorVel Corporation -
Downers Grove, IL

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Job Details

Full-time
$61,053 - $98,334 a year
9 days ago

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Customer communication

Full Job Description

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 role is available for both remote and hybrid work arrangements.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

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

KNOWLEDGE & SKILLS:

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

EDUCATION & EXPERIENCE:

Bachelor's degree or a combination of education and related experience
Minimum of 3 years’ industry experience and claim handling
Self-Insured Certificate preferred
State Certification or license as an experienced claims adjuster
Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel

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 (https://www.corvel.com/company/careers/)

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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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-Hybrid

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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