REMOTE POSITION / CLAIMS PROCESSOR

The Workers’ Compensation 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.

Responsibilities

Receives workers’ compensation 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 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 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

Minimum of 1 year of industry experience and claims management preferred

Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel

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.

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.

Benefits
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.

Equal Opportunity Employer
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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