Talent.com
Indemnity Claims Specialist

Indemnity Claims Specialist

CorVel Enterprise Claims, Inc.Des Moines, IA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

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 role.

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 : $51,807 – $83,551

    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

    serp_jobs.job_alerts.create_a_job

    Claim Specialist • Des Moines, IA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Remote Claims Specialist

    Remote Claims Specialist

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for a Remote Claims Specialist.Key Responsibilities Review and investigate claims related to FMLA, PFL, ADA, and other leave programs Adjudicate claims in accordance with re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Professional Liability Claims Specialist

    Senior Professional Liability Claims Specialist

    ConfidentialDes Moines, IA, US
    serp_jobs.job_card.full_time
    Senior Claims Specialist – Medical Malpractice & Liability.Incentive Comp, ESOP, Competitive Benefits.Our client is a leading specialty insurance provider known for delivering personalized solution...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Tax Expert - Onsite

    Tax Expert - Onsite

    IntuitADEL, IA, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Tax Expert - 2+ Yrs Paid Tax Experience Required

    Tax Expert - 2+ Yrs Paid Tax Experience Required

    IntuitADEL, IA, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Liability Claims Specialist - Remote

    Liability Claims Specialist - Remote

    Holmes MurphyWaukee, IA, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team.This role will provide high quality claims handling and expertise for all CRS customers.This includes in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Public Sector Claims Adjuster

    Licensed Public Sector Claims Adjuster

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for a Lead Claims Adjuster - Public Sector Claims.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively Communicate with var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Claims Examiner

    Claims Examiner

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Examiner I.Key Responsibilities Process and adjudicate healthcare claims, including medical, dental, vision, and mental health claims Conduct claims investigati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Indemnity Claims Specialist

    Indemnity Claims Specialist

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for an Indemnity Claims Specialist (remote).Key Responsibilities Receives claims, confirms policy coverage, and acknowledges the claim Determines validity and compensability...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Tax Expert

    Tax Expert

    IntuitAdel, IA, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Environmental Technical Claims Specialist

    Senior Environmental Technical Claims Specialist

    Argonaut Management Services, IncDes Moines, IA, United States
    serp_jobs.job_card.full_time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Claims Specialist

    Claims Specialist

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits. Key Responsibilities Resolve complex claims issues by investig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    LTSS Specialist

    LTSS Specialist

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for an LTSS Specialist I to support care coordination and improve member healthcare experiences.Key Responsibilities Ensure compliance with contractual obligations and govern...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Healthcare Claims Analyst

    Healthcare Claims Analyst

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.Key Responsibilities Research, resolve, and follow up on rejected or unpaid pharmacy claims for a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Tax Expert - Local

    Tax Expert - Local

    IntuitADEL, IA, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Principal Claims Policy Expert

    Principal Claims Policy Expert

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for a Principal Claims & Payments Expert to serve as a lead authority on claims-related policy matters. Key Responsibilities Interface directly with providers on claims polici...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Sr Claims Specialist

    Sr Claims Specialist

    Argonaut Management Services, IncWest Des Moines, IA, United States
    serp_jobs.job_card.full_time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Claims Resolution Adjuster

    Claims Resolution Adjuster

    VirtualVocationsDes Moines, Iowa, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Resolution Adjuster - Remote (CST / MST / PST).Key Responsibilities Investigate automobile accidents involving bodily injury and assess coverage, liability, and dama...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (OT) - $1,234 per week in Norwalk, IA

    Travel Occupational Therapist (OT) - $1,234 per week in Norwalk, IA

    AlliedTravelCareersNorwalk, IA, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Mindlance Health to find a qualified Occupational Therapist (OT) in Norwalk, Iowa, 50211!. ID : 72304237 Shift : Mon-Fri, Days Description : MAKE SURE PRESCREEN IS F...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30