Job Details
Description
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