Claims Specialist

🕒 May 12

🗽 New York – Remote

🗽 New York – Remote

💵 $53k - $85.5k / year

⏰ Full Time

🟢 Junior

📋 Claims Specialist

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CorVel Corporation

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1987

🤝 B2B

⚕️ Healthcare Insurance

☁️ SaaS

B2B • Healthcare Insurance • SaaS

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

• 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

🎯 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

🏖️ Benefits

• 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 • Paid time off