• Manage a caseload of transportation bodily injury claims, including litigated and non-litigated exposures • Investigate, evaluate, negotiate, and resolve trucking and transportation related claims in accordance with company guidelines and regulatory requirements • Handle claims involving long-haul trucking, semi-trucks, and commercial transportation exposures • Review coverage, assess liability, and determine appropriate claim resolution strategies • Coordinate with defense counsel and support litigation management activities as needed • Maintain ownership of bodily injury claims and associated property damage exposures throughout the life of the claim • Maintain accurate and timely documentation within the claims management system • Communicate professionally with insureds, claimants, attorneys, vendors, and internal stakeholders • Ensure compliance with applicable state regulations and company policies • Negotiate settlements and support timely claim resolution strategies • Mentor less experienced team members and assist with claims handling guidance when appropriate • Perform additional duties and projects as assigned

• To analyze Auto Bodily Injury and Property Damage claims on behalf of our valued clients to determine benefits due. • Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. • Negotiating settlement of claims within designated authority. • Communicating claim activity and processing with the claimant and the client. • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

• To analyze mid-level commercial auto physical damage and total loss claims to determine scope of damages. • Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. • Receive and review new claims and maintain data integrity in the claims system. • Conduct claim file activities including evaluations, investigations, litigation management and resolution. • Review investigative reports, insurance policies and other pertinent records for proper coverage. • Investigate the cause and extent of the damages, obtain appropriate documentation and issue settlement. • Determine coverage of claims with proper limits and deductibles in accordance with policy information. • Prepare settlement documents and requests payment for the claim and expenses. • Work with external vendors and professionals. • Interview and correspond with claimant and witnesses regarding claims. • Estimate cost of repair, replacement or compensation. • Prepare report findings and negotiate settlements with claimants. • Recommend litigation by legal department when settlement cannot be negotiated. • Revise case reserves in assigned claims files to cover probable costs. • Assist in preparing loss experience report to help determine profitability and calculate adequate future rates.

Role Description The WC 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 role. Essential Functions & Responsibilities: - Receives Workers’ Compensation 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 duties as assigned. Qualifications - 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 Microsoft 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. Requirements - Bachelor's degree or a combination of education and related experience. - Minimum of 3 years’ industry experience and claim handling. - Self-Insured Certificate preferred. - State Certification or license as an experienced claims adjuster. - Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel. Pay Range CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $61,053 - $98,334 Benefits A list of our benefit offerings can be found on our CorVel website: - 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 Company Description CorVel, a certified Great Place to Work® Company, 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 publicly 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 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).