[Remote] Claims Specialist

Note: The job is a remote job and is open to candidates in USA. CorVel Corporation is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health, and disability management industries. The Claims Specialist manages lower-level, non-complex workers’ compensation claims under the supervision of a senior claims professional, ensuring adherence to company best practices and goals.ResponsibilitiesReceives claims, confirms policy coverage and acknowledgment of the claimDetermines validity and compensability of the claimEstablishes reserves and authorizes payments within reserving authority limitsManages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervisionCommunicates claim status with the customer, claimant and clientAdheres to client and carrier guidelines and participates in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties as assignedSkillsBachelor's degree or a combination of education and related experienceExcellent written and verbal communication skillsAbility to learn rapidly to develop knowledge and understanding of claims practiceAbility to identify, analyze and solve problemsComputer 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 environmentMinimum of 1 year of industry experience and claims management preferredState Certification as an Experienced ExaminerBenefitsMedical (HDHP) w/PharmacyDentalVisionLong Term DisabilityHealth Savings AccountFlexible Spending Account OptionsLife InsuranceAccident InsuranceCritical Illness InsurancePre-paid Legal InsuranceParking and Transit FSA accounts401KROTH 401KPaid time offCompany OverviewCorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. It was founded in 1987, and is headquartered in Irvine, California, USA, with a workforce of 1001-5000 employees. Its website is https://www.corvel.com/.



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