Senior Claims Specialist

CorVel Corporation

Senior Claims Specialist handling complex workers’ compensation claims for CorVel, a national risk-management solutions provider. Investigating claims, managing recoveries, and negotiating settlements remotely.

Posted 8/7/2026full-timeRemote • California, Texas • 🇺🇸 United StatesSenior💰 $29 - $47 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in handling Workers’ Compensation claims, including investigation, documentation, and compliance with state regulations. Proficient in developing action plans and managing relationships with case managers and attorneys to optimize claim outcomes.

Highest-signal resume keywords

Workers’ Compensation Claims HandlingCalifornia Self-Insured LicenseClaims Adjuster CertificationBilingual in SpanishClaims Administration Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationPolicy Coverage ConfirmationDocumentation FilingReserve EstablishmentCost-Containment SolutionsClaims Subrogation ManagementLitigation ManagementTechnical AptitudeMicrosoft Office ProficiencyExcel Spreadsheet Skills

Soft Skills

Excellent Communication SkillsInterpersonal SkillsTime ManagementOrganizational SkillsProblem-Solving Ability

Certifications & Qualifications

California Self-Insured LicenseWorkers’ Compensation Certification

Industry Keywords

Claims AdministrationCase ManagementClaim Costs ReductionReturn-to-Work CoordinationClient and Carrier Guidelines

About the role

Key responsibilities & impact

Handle complex and high-profile Workers’ Compensation claims following company standards
Confirm policy coverage and acknowledgement of claims
Investigate claims, determine validity and compensability, and file necessary documentation with state agencies
Establish reserves and authorize payments within reserving authority limits
Develop and manage documented action plans with case managers and outcomes managers to reduce claim costs
Coordinate early return-to-work efforts
Manage claim subrogation, litigation, and potential recoveries
Report claims to excess carriers when applicable
Communicate claim status with customers and claimants
Adhere to client, carrier, state, and safety guidelines
Participate in claims reviews as needed
Develop and maintain professional customer relationships
Work closely with case managers and attorneys and support Claims Department and CorVel goals
Perform additional duties as assigned

Requirements

What you’ll need

Bachelor's degree or a combination of education and related experience
Minimum of 3 years’ industry experience and claim handling
California self-insured license required
State Certification or license as an experienced claims adjuster
Current license or certification in Workers’ Compensation must be maintained throughout employment
Must be bilingual in Spanish
Excellent written and verbal communication skills
Ability to assist team members in developing claims-practice knowledge
Ability to identify, analyze, and solve problems
Computer proficiency and technical aptitude, including Microsoft Office and Excel spreadsheets
Strong interpersonal, time management, and organizational skills
Ability to work independently and within a team environment
Knowledge of claims administration, case management, and cost-containment solutions applicable to Workers’ Compensation

Benefits

Comp & perks

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
Paid time off
Career advancement opportunities
Supportive culture