Claims Specialist (Workers' Comp)

The Workers Compensation Claims Specialist is a vital member of our team that works closely with our clients. Through this opportunity an individual can expect a manageable caseload, growth and the ability to make a positive impact on others while adhering to CorVel’s best practices when processing non-complex/non-problematic claims.

This position is fully remote. The candidate may be located anywhere in the US. Experience (handling claims in IL, IN, MI and KY is a bonus). 

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.
• 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 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 work compensation claims management preferred
• Experience handling claims in IL, IN, MI and KY is a bonus

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.

Pay Range:  $49,359 – $79,603

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

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 publically 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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