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 position. 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 - Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”) - 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 Benefits - Comprehensive benefits package for full-time regular employees - 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 and 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!).

Role Description Für unsere offene Position als Sachbearbeiter im Kreditmanagement suchen wir dich! Starte im Captive Finance Team und sei verantwortlich für die Geschäftsentwicklung des Kreditgeschäfts und das Inkasso unseres Autohero Finance Departments. Der Schwerpunkt der Finance Abteilung liegt auf der Unterstützung des Managements bei strategischen und finanziellen Entscheidungen. - Bearbeite unser internationales Autohero Consumer Finance Portfolio und gewährleiste einen reibungslosen Service. - Bei der abwechslungsreichen Tätigkeit aus telefonischem und schriftlichem Support kommunizierst du mit Kunden, Dienstleistern, Ämtern und Behörden. - Führe Verhandlungen zum Beispiel zu Stundungen, Zahlpausen und übernimm weitere Vereinbarungen mit säumigen Kunden. - Fungiere als Schnittstelle zu anderen Abteilungen und pflege eine enge Zusammenarbeit. - Unterstütze dein Team aktiv bei Prozessverbesserungen und bringe Ideen ein. - Sei das Sprachrohr für Kunden, die sich für eine Finanzierung interessieren. Qualifications - Erfolgreich abgeschlossene kaufmännische Ausbildung mit gutem Zahlenverständnis. - Mindestens 2 Jahre einschlägige Berufserfahrung im Kontakt und in der Verhandlung mit Endkunden, zusätzliche Erfahrung im Forderungsmanagement ist von Vorteil. - Ausgezeichnete Kommunikations- und Verhandlungsfähigkeiten und ein ausgeprägtes Auge für Details runden dein Profil in Kombination mit einer starken Ergebnis-/Zielorientierung ab. - Guter Umgang mit den gängigen Office- und Google-Produkten, Erfahrung mit CRM-Tools. - Sehr gute Deutschkenntnisse in Wort und Schrift, gute Englischkenntnisse sind von Vorteil. Benefits - 100% remote! Ganz egal, wo du wohnst, arbeite Vollzeit von Zuhause. - Persönliches Wachstum unter Einbringung eigener Ideen. - Du musst noch nicht perfekt sein: Learning on the job. - Übergesetzlicher Zuschuss zur betrieblichen Altersvorsorge. - Babbel Sprachkurse. Company Description Wir als Autohero, der innovative Online Shop für geprüfte Gebrauchtwagen, sind Teil der AUTO1 Group, Europas führender Plattform für den Automobilhandel. Unsere innovative Plattform ermöglicht es Kunden bequem, sicher und transparent hochwertige Gebrauchtwagen online zu kaufen.

Role Description The Senior Claims Examiner is responsible for adjusting claims and/or providing TPA oversight of the various entities under management. The role requires the ability to deal with a wide range of losses including high value and complex claims. The examiner, with minimal oversight, will lead and direct junior examiners, TPAs, and vendors. The role is responsible for performance, development, and coaching to maximize performance. Key Accountabilities / Deliverables - Ensure implications for stakeholders, particularly policyholders, are considered in business approaches to deliver fair customer outcomes. - Adjust claims via paper or electronic presentations for all Syndicates and/or Group Companies. - Investigate, evaluate, negotiate, and adjudicate claims within authority, meeting or exceeding Claims Policies and Procedures. - Assist with initial triage, onboarding reviews, and scheduling of roundtable discussions. - Provide coaching, feedback, and direction on claims. - Manage the Claim Status Report documentation process. - Ensure all data is concise and accurate in electronic claim systems. - Use electronic diary systems to manage all claims. - Utilize data including loss runs to manage claims. - Set appropriate and accurate case reserves in accordance with the company’s reserving philosophies. - Manage attorneys and negotiate and liaise with co-insurers. - Negotiate settlements as part of the market and proactively identify and progress direct settlements for Enstar companies. - Report claim developments and account information to management and the Litigation Legal team as applicable. - Interpret contracts, manage cedant relationships, and legal representation. - Conduct inspections of records when required and negotiate equitable claim resolutions. - Monitor and oversee external agreement parties against SLAs and report any performance issues to Management. - Comply with Enstar claims handling authority levels. - Support and assist Outwards, Commutation, and Complex Claims teams as required. - Carry out duties within internal policies and procedures in accordance with applicable law, rules, regulations, and Enstar’s shared values. - Work with external customers to address questions, resolve problems, and maintain rapport. - Assist with the Reinsurance reporting process. - Maintain applicable adjuster licensing. - Serve as the lead and primary point of contact for TPAs and vendors. - Resolve complex claims issues and disputes. - Provide analysis of claims data, metrics, and results from TPA performance. - Provide periodic reports to management. - Coordinate claim reviews and provide data summaries. - Drive the performance management process for TPAs. - Maintain transparent communication with TPAs through meetings, emails, and regular communications. - Manage corporate expenses by monitoring file allocations, resources, and other expenditures. - Ensure compliance with all legal, regulatory, and internal control requirements. - Provide claims insights to assist other business units by collaborating on data analysis and trends. - Maintain professional and technical knowledge by attending educational workshops and participating in professional societies. Qualifications - Technical knowledge of Property & Casualty claims. - Significant experience (8+ years) in adjusting claims relevant to the classes of business handled. - Good knowledge of contract wordings, coverage, and reinsurance structures. - Detailed understanding of good faith claims handling. - Working knowledge of State specific Claims Handling Guidelines. - General understanding of legal principles as they pertain to insurance claims. - Bachelor’s degree preferred. - Ability to serve as a resource, train, and mentor junior staff. - Analytical skills. - Knowledge of insurance regulations and industry best practices. - Ability to work independently. - Excel proficiency. - Experience managing a Casualty and/or Professional Liability portfolio preferred. - Exposure to participation in due diligence reviews preferred. - Presentation skills. - Understanding of actuarial concepts. Benefits - Best-in-class Medical, Dental, and Vision healthcare for single and family coverage. - Board-certified doctors and pediatricians available virtually 24/7 for urgent care. - Access to Health Savings Account (HSA) or Flexible Spending Account (FSA). - Access to Dependent Care FSA to cover daycare expenses. - Access to Employee Assistance Programs (EAP) for health and well-being. - Optional Pet & Home/Auto Insurance. - Wellness Reimbursement program (up to $600 annual reimbursement for wellness-related expenses). - 401K retirement plan (company matches up to 6% of employee contribution). - One paid annual volunteer day.

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements. • Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment. • Evaluate and report on potential subrogation opportunities. • Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies. • Perform duties independently, with work directly impacting management outcomes. • Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards. • Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties. • Use strong customer service skills to negotiate with policyholders to settle the claim. • Performs additional duties as assigned. • Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals. Employees assigned to the Catastrophe team will be required to travel away from their residence for a specified period of time, usually consisting of 23 days. Although this is not a CAT-specific role, hires will be expected to commit to 1–3 CAT deployments per year.