Workers' Compensation Claims Specialist

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Job description

The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & 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.

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 more complex, lost-time workers' compensation claims

Communicates claim status with the customer, claimant and client

Adheres to client and carrier guidelines and participates in claims review as needed

Requires regular and consistent attendance

Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP")

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 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 3 year of industry experience and claims management preferred

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: $50,593 - $81,593

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.

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