Permanent New England Floater - WC

Job Description

Job Description

The Permanent Northeast Floater provides experienced claims support across New England, assuming temporary responsibility for diverse caseloads and clients as business needs arise. This role manages complex and high-visibility workers’ compensation claims within delegated authority, determines benefits due, works closely with case managers and attorneys, partners with subrogation and negotiates settlements. The position ensures customer service requirements are met while achieving optimal claim outcomes, supporting both client expectations and the goals of the CorVel claims department.

This is a remote role.

Must be licensed/experienced in at least one state: CT, RI, MA, NH, VT or ME

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Permanent floater and will temporarily handle various caseloads in New England jurisdictions, as need arises
• Receives assigned claims, confirms policy coverage and acknowledges the claim.
• Determines validity and compensability by investigating and gathering information, files necessary documentation with state agencies.
• Establishes reserves and authorizes payments within authority limits.
• Develops and manages action plans with case managers and outcomes managers to reduce overall claim costs.
• Coordinates early return-to-work efforts with appropriate parties.
• Manages subrogation and litigation as applicable.
• Oversees potential claim recoveries of all types.
• Reports claims to the excess carrier when applicable.
• Provides clear, timely communication of claim status to customers and claimants.
• Adheres to client and carrier guidelines; participates in claims reviews as needed.
• Develops and maintains strong professional relationships with customers and internal partners.
• Ensures compliance with all applicable state rules and regulations in New England jurisdictions.
• Adapts quickly to new caseloads, client expectations, and system processes while maintaining service standards.
• Performs additional projects and duties as assigned.

POSITION HIGHLIGHTS

• Permanent “floater” role dedicated to providing senior-level claims coverage across New England.
• Temporarily assumes responsibility for diverse caseloads and client programs as business needs arise.
• Offers flexibility and variety by working with multiple accounts and client service expectations.
• Ensures consistency in claim handling, compliance and customer service during staff transitions, absences or workload shifts (while the position is permanent the caseloads are temporary).

KNOWLEDGE & SKILLS: 

• 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 MS 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.

• Willingness to become licensed in additional/all New England states. 

EDUCATION & EXPERIENCE: 

• Bachelor's degree or a combination of education and related experience.
• Minimum of 3 years’ industry experience and claim handling.
• Self-Insured Certificate preferred.
• An active license to handle WC claims in at least one of the following New England states (CT, RI, MA, NH, VT or ME).

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

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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.

ABOUT CORVEL:

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!). 

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.

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