2 senior technical claims specialist jobs found

The 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 is a remote position. ESSENTIAL FUNCTIONS & 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...

Company Details   BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.” Responsibilities The Return to Work (RTW) Specialist advances BerkleyNet’s mission of delivering exceptional workers compensation outcomes by facilitating safe, timely, and sustainable return‑to‑work plans for injured employees. The role serves as a strategic partner to employers, injured workers, medical providers, and internal claims teams, ensuring that modified duty opportunities are identified, communicated, and implemented effectively. This position directly contributes to loss cost management, improved recovery outcomes, and an elevated customer experience by reducing disability duration and supporting early, collaborative return‑to‑work solutions. Coordinate individualized return‑to‑work plans that align with medical...