Workers Compensation Claims Specialist

WC Disability Claims SpecialistThe 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 claimReviews for validity and compensability of the claimReviews and revises reserve and authorizes payments within reserving authority limitsEnsures timely and accurate payment of WC claim benefits, including indemnity and medicalInitiates investigations, including alive and well checks as needed to confirm continued payment of benefitsManages workers' compensation claims toward closure (targeted case load is 250–300 files)Develops strategies and pursues settlement and/or claim closures, whenever possibleCommunicates claim status with the customer, claimant and clientAdheres to client and carrier guidelines and participates in claim reviews, as neededAdditional duties as assignedKnowledge & Skills:Excellent written and verbal communication skillsAbility to learn rapidly to develop knowledge and understanding of claims practiceAnalytical 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-makingComputer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheetsStrong interpersonal, time management, and organizational skillsAbility to meet or exceed performance competenciesAbility to work both independently and within a team environmentEducation & Experience:Bachelor's degree or a combination of education and related experienceState Certification as an Experienced ExaminerMinimum of 1 year of industry experience and claims management preferredPreference for previous experience in WC disability benefit managementPay Range: $48,143 - $71,852CorVel 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.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.