WC Disability Claims Specialist II - NY

Job Description

Job Description

The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews.

This is a remote role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Receives claims, confirms policy coverage and acknowledgement of the claim
• Reviews for validity and compensability of the claim
• Reviews and revises reserve and authorizes payments within reserving authority limits
• Ensures timely and accurate payment of WC claim benefits, including indemnity and medical
• Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits
• Manages workers’ compensation claims toward closure (targeted case load is 250–300 files)
• Develops strategies and pursues settlement and/or claim closures, whenever possible
• Communicates claim status with the customer, claimant and client
• Adheres to client and carrier guidelines and participates in claim reviews, as needed
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Excellent written and verbal communication skills
• Ability to learn rapidly to develop knowledge and understanding of claims practice
• Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making
• Computer proficiency and technical aptitude with the ability to utilize Microsoft 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
• State Certification as an Experienced Examiner
• Minimum of 1 year of industry experience and claims management preferred
• Preference for previous experience in WC disability benefit management

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: $48,143 - $71,852

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