RanchoCucamongaRecruiter Since 2001
the smart solution for Rancho Cucamonga jobs

CA Workers Compensation Senior Claims Specialist

Company: CorVel Corporation
Location: Rancho Cucamonga
Posted on: January 16, 2021

Job Description:

The CA Workers Compensation Sr.--Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within 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, supporting the goals of claims department and of CorVel. About CorVel CorVel 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 publically 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 3500 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 employees and includes medical, dental, vision, 401K, and paid time off. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Receives 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 projects and 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 MS 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.
  • 10 +--years experience handling--MS Workers Compensation lost time claims.
  • MS--workers compensation adjuster license required
  • Associates in Claims or Associates in Risk Management designation preferred

Keywords: CorVel Corporation, Rancho Cucamonga , CA Workers Compensation Senior Claims Specialist, Other , Rancho Cucamonga, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Visual Designer
Description: Description: Company Profile:Arlon Graphics, LLC is a cast vinyl manufacturing company in the business of creating innovative material for visual expression. Founded in 1958, Arlon Graphics manufactures (more...)
Company: Arlon Graphics
Location: Placentia
Posted on: 01/17/2021

Stylist - San Diego
Description: Why Us: We-'re Hiring We Want You Imagine a place where you can make a difference every day, LOVE WHAT YOU DO, and make a great living doing it. You just found it, HairClub-- Has It All Why HairClub (more...)
Company: Hairclub
Location: Poway
Posted on: 01/17/2021

Armed Security Officer - Allied Universal
Description: At Allied Universal----our Security Professionals assist clients, and the public at large, by providing essential jobs that keep our communities safe and secure. --During this time, we need your help (more...)
Company: Allied Universal
Location: Poway
Posted on: 01/17/2021


No car? No problem. Deliver with DoorDash on our e-bikes
Description: Want to earn money, but don't have a car Deliver with DoorDash. We'll even set you up with an e-bikeWhat is DoorDashAvailable in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is about (more...)
Company: Doordash
Location: Rosemead
Posted on: 01/17/2021

Postmates - Earn Extra Cash
Description: Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city and funnel (more...)
Company: Postmates
Location: Yucaipa
Posted on: 01/17/2021

Caliber Home Loans - Residential Underwriter - South CA
Description: Join a reputable mortgage company that offers a direct hire, six-figure income opportunity with full
Company: Caliber Home Loans
Location: San Gabriel
Posted on: 01/17/2021

Deliver with DoorDash - No Vehicle Required.
Description: Want to earn money, but don---t have a car Deliver with DoorDash. We---ll even set you up with an e-bike What is DoorDash Available in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is (more...)
Company: DoorDash
Location: Rosemead
Posted on: 01/17/2021

Residential Underwriter
Description: Join a reputable mortgage company that offers a direct hire, six-figure income opportunity with full
Company: Caliber Home Loans
Location: Rowland Heights
Posted on: 01/17/2021

Deliver with Uber on your schedule
Description: Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends it's up to you. Earn Good Money. You'll earn by bringing people (more...)
Company: Uber Eats
Location: Yucaipa
Posted on: 01/17/2021

Food Delivery Driver - Postmates
Description: Job DescriptionPostmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city (more...)
Company: Postmates
Location: Placentia
Posted on: 01/17/2021

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Rancho Cucamonga RSS job feeds