Claims Specialist

🔥 14 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $25 - $41 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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👻 Ghost score 0%

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CorVel Corporation

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1987

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

CorVel Corporation is a risk management and healthcare services company that provides integrated claims and care solutions for payors and employers. It specializes in workers' compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions, and it offers technology platforms that use AI and data analytics to streamline claims administration, improve outcomes, and reduce costs.

📋 Description

• Manage lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority • Manage claims under the direct supervision of a senior claims professional • Receive workers’ compensation claims and confirm policy coverage and claim acknowledgment • Determine claim validity and compensability • Establish reserves and authorize payments within reserving authority limits • Manage non-complex lost-time workers’ compensation claims under close supervision • Communicate claim status with customers, claimants and clients • Adhere to client and carrier guidelines • Participate in claims reviews as needed • Assist claims professionals with more complex or problematic claims • Comply with safety rules and regulations during working hours • Complete additional projects and duties as assigned

🎯 Requirements

• 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 • Excellent written and verbal communication skills • Ability to learn rapidly and develop knowledge and understanding of claims practice • Ability to identify, analyze and solve problems • Computer proficiency and technical aptitude • 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 independently and within a team environment • Bilingual in Spanish preferred

🏖️ Benefits

• Medical (HDHP) w/Pharmacy • Dental insurance • Vision insurance • 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 • Paid time off • Career advancement opportunities • Remote position