Liability Claims Specialist

🔥 0 minutes ago

🏄 California – Remote

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💵 $25 - $41 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of CorVel Corporation

CorVel Corporation

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 non-complex and non-problematic Liability claims under direct supervision of a senior claims professional • Manage medical-only claims and minor lost-time liability claims under close supervision • Receive claims and confirm policy coverage and claim acknowledgment • Determine claim validity and compensability • Establish reserves and authorize payments within reserving authority limits • Communicate claim status with customers, claimants, and clients • Adhere to client and carrier guidelines • Participate in claims reviews as needed • Collaborate with team members on more complex or problematic claims • Handle litigated files with delegated limited authority • Comply with safety rules and regulations during working hours • Perform additional duties as assigned

🎯 Requirements

• Minimum of 1 year of industry experience and claims management preferred • Current Adjuster’s License in state of operation is required • Multi-State license is preferred • Bachelor's degree or a combination of education and related experience • 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 use Microsoft Office, including Excel spreadsheets • Strong interpersonal, time management, and organizational skills • Ability to meet or exceed performance expectations • Ability to work independently and within a team environment

🏖️ Benefits

• Medical (HDHP) with 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 • Supportive culture • Full-time regular employees receive a comprehensive benefits package

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