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Handles complex California workers’ compensation claims, including coverage verification, compensability investigations, reserves, payments, action plans, return-to-work coordination, subrogation, litigation, recoveries, excess reporting, settlement negotiations, and customer communications. Maintains regulatory compliance, manages claim outcomes and costs, collaborates with case managers and attorneys, and supports claims review and team knowledge development.

Manages mid-to-complex auto and general liability claims, including bodily injury, property damage, and litigated files. Responsibilities include confirming coverage, determining compensability, investigating claims, setting reserves, authorizing payments, communicating claim status, following client and carrier guidelines, and collaborating on complex cases. The role requires significant claims experience, active adjuster licensing, strong communication and analytical skills, and proficiency with Microsoft Office and Excel.

Manages mid-to-complex auto and general liability claims, including bodily injury, property damage, high-exposure, and litigated files. Responsibilities include confirming coverage, determining compensability, investigating claims, setting reserves, authorizing payments, communicating claim status, following client and carrier guidelines, and collaborating on complex cases.

Sell CorVel services to prospects and existing accounts, meet activity and sales targets, document opportunities and activity in Salesforce, respond to RFPs, attend meetings and conferences, and provide exceptional customer service to grow market share.

Develops and delivers classroom, virtual, field, onboarding, and on-the-job training for claims operations employees. Responsibilities include creating curricula and support materials, identifying skill gaps, coordinating retraining based on audit results, managing train-the-trainer programs, maintaining eLearning resources and LMS records, monitoring new-hire progress, and reporting productivity. The role also ensures claims, PHI, PII, and HIPAA training remains current while collaborating with management and department teams.

Serve as technical claims QA expert auditing compliance with CorVel, industry and carrier standards. Evaluate claim handling quality across coverage, investigation, valuation, reserving and disposition. Produce operational reporting, identify trends, lead QA projects and training, create corrective action plans, monitor claim financials, perform software/product testing for claims processes, and collaborate with EC Operations and leadership on improvements.

Manage non-complex workers' compensation indemnity claims within delegated authority: confirm coverage, determine compensability, establish reserves, authorize payments, communicate with stakeholders, follow client/carrier guidelines, and support senior claims professionals.

Manages the overall operation of a workers’ compensation claims office, including staff leadership, regulatory compliance, workflow, staffing, training, performance management, claims procedures, and settlement of high-value claims. Drives operational efficiency, quality, and consistency while supporting departmental goals and ensuring adherence to company policies. Requires workers’ compensation administration expertise, supervisory experience, industry licensing or certification, and the ability to travel overnight for meetings.

Handles complex workers’ compensation claims, including coverage confirmation, compensability investigations, reserves, payments, subrogation, litigation, recoveries, settlement negotiations, return-to-work coordination, regulatory filings, and communication with customers and claimants. Collaborates with case managers, attorneys, and outcome managers to reduce claim costs, maintain compliance, and achieve favorable resolutions.

Provides remote administrative support by answering calls, handling inquiries, managing mail and documents, scheduling meetings and travel, preparing reports and presentations, coordinating projects, and assisting with basic accounting. Requires strong communication, organization, prioritization, problem-solving, and Microsoft application skills, along with 1–2 years of administrative support experience.