Job Description
Job Description
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES :
- Receives claims, confirms policy coverage and acknowledgment of the claim
- Determines validity and compensability of the claim
- Establishes reserves and authorizes payments within reserving authority limits
- Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
- Communicates claim status with the customer, claimant and client
- Adheres to client and carrier guidelines and participates in claims review as needed
- Assists other claims professionals with more complex or problematic claims as necessary
- Requires regular and consistent attendance
- Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ( IIPP )
- Additional projects and duties as assigned
KNOWLEDGE & SKILLS :
- Excellent written and verbal communication skills
- Ability to learn rapidly 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 meet or exceed performance competencies
- Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE :
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year of industry experience and claims management preferred
- State Certification as an Experienced Examiner
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 : $50,593 $81,593
This role is eligible to participate in a defined bonus program.
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.
LI-Remote
Senior Litigation Claims Adjuster - Multi-Line Specialist (Remote)
Are you an experienced Multi-Line Claim Adjuster with a passion for managing complex, litigated claims across diverse industries? CCMSI is seeking a Senior Multi-Line Claim Adjuster to join our team, working remotely, Monday through Friday, 8:00 am to 4:30 pm. In this role, you will be responsible f...
Claims Specialist
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department a...
Senior Claims Specialist, Professional Liability
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. Ability to influence claims stakeholders and to effec...
Claims Specialist
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department a...
Field Claims Specialist II, Property (Denver)
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two property claims are ever...
Specialty/Commercial Casualty Claims Specialist - Remote
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Complex Claims Specialist – Allied Healthcare Providers
Manages an inventory of moderate to high complexity and exposure Healthcare claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
Claims Administrative Support Specialist
Claims Administrative Support SpecialistAs a. ...
Claims Specialist
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
Claims Specialist
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...