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CorVel Corp.

CorVel Corporation is a national provider of industry-leading workers’ compensation solutions for employers, third party administrators, insurance companies, and government agencies seeking to control costs and promote positive outcomes. We apply technology, intelligence, and a human touch to the challenges of risk management so our clients can intervene early and often while being connected to the critical intelligence they need to proactively manage risk. With a robust technology platform a... Read More

Address      801 Cherry Street, Fort Worth, TX 76102
Website      www.corvel.com/
Holding      No Holding Details

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Sr. Claims Examiner

Manage within company standards and best practices complex and problematic high visability 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 requirements to achieve the best possible outcome in the claim.
Essential Job Duties:     1. Receives claim, confirms policy coverage and acknowledgement of the claim 2. Determine validity and compensability of the claim by investigating and gathering information regarding the claim and the file necessary documentation with the state agencies 3. Establish reserves and authorize payments within reserving authority limits 4. Develop and manage well documented action plan with the case manager, attorney, supervisor, and client to reduce overall cost of the claim 5. Coordinating early return-to-work efforts with the case manager and employer 6. Negotiates settlements when necessary 7. Actively manage the litigation process 8. Identifies potential subrogation claims 9. Communicate claim status with the customer and claimant 10. Adhere to client guidelines and participate in claims review as needed 11. Develops and maintains professional customer relationships
Education/Training Requirements:     Knowledge and Skills 1. Excellent oral and written communication skills 2. PC literate, including Microsoft Office (Word, Excel) 3. Effective analytical and interpretive skills 4. Strong organizational skills 5. Great interpersonal skills 6. Ability to work in a team environment 7. Ability to work independently 8. Knowledge of the entire claims administration, case management, and cost containment solution as applicable to Workers' Compensation 9. Municipality experience preferred. 10. Thorough knowledge of appropriate insurance principles and laws for workers' compenastion recoveries and offsets Education Four year degree at an accredited college or university preferred Experience Five (5) years of Workers' Compensation claims management experience required
Application Instructions:     Please submit resume with salary requirements. Send resume to Don_Limberg@corvel.com

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Vacancy type:

Full Time

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Contact Name:

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Job Duration:

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