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Senior Workers’ Comp Adjuster-Large Loss Claims Specialist

CorVel Corporation

Job Category: Claims Requisition Number: SENIO011166 Posting Date: April 8, 2026 Employment Type: Full-Time Location 3010 Highland Pkwy Downers Grove, IL 60515, USA The Large Loss Workers’ Compensation Adjuster is responsible for managing a caseload of complex and high-exposure workers’ compensation claims from initial assignment to resolution. This role requires strong technical expertise in claims handling, thorough knowledge of workers’ compensation laws and regulations, and the ability to develop strategies that achieve cost-effective and fair claim outcomes. The adjuster will work closely with injured employees, employers, medical providers, attorneys, and internal stakeholders to ensure timely and accurate claim resolution. This is a remote role. Essential Functions & Responsibilities Handle a caseload of large loss and catastrophic workers’ compensation claims, including complex medical and indemnity exposures. Investigate claims thoroughly to determine compensability, cause, extent of injuries, and potential for subrogation or fraud. Establish and maintain accurate reserves based on file exposure and claim progression. Develop, document, and execute claims strategies tailored to each file. Serve as the primary point of contact for all parties involved in the claim, including injured workers, employers, medical providers, attorneys, and internal teams. Provide regular status updates to stakeholders, ensuring transparency and alignment with claim objectives. Collaborate with internal resources such as nurse case managers, vocational experts, and legal counsel to drive claim resolution. Ensure claims are managed in accordance with applicable workers’ compensation laws, jurisdictional requirements, and internal guidelines. Maintain complete, organized, and timely claim documentation within the claims management system. Prepare required carrier reports, correspondence, and settlement recommendations. Direct and oversee litigation strategy on contested claims, including selection and oversight of defense counsel. Attend mediations, hearings, and settlement conferences as needed. Identify opportunities to control claim costs through proactive management and early intervention. Monitor and manage large loss exposures to protect company assets. Participate in file reviews and provide insight into loss trends, reserving practices, and improvement opportunities. Knowledge & Skills In-depth knowledge of workers’ compensation laws, medical terminology, and claims best practices. Exceptional negotiation, communication, and interpersonal skills. Strong analytical, decision‑making, and problem‑solving abilities. Ability to manage multiple priorities in a fast‑paced environment. Proficiency with claims management systems and Microsoft Office Suite. Education/Experience Minimum 5–7 years of workers’ compensation claims handling experience, with at least 3 years handling large loss/catastrophic claims. Multi‑jurisdictional experience strongly preferred. 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. In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. Benefits A comprehensive benefits package is available for full‑time regular employees and includes 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, and paid time off. CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr

Vacancy posted 9 hours ago
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