Liability Claims Specialist

🔥 20 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $25 - $41 / hour

⏰ Full Time

🟢 Junior

📋 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 non-complex and non-problematic Liability claims under direct supervision of a senior claims professional • Manage non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision • Handle litigated files with delegated limited authority • Receive claims and confirm policy coverage and acknowledgment of the claim • Determine claim validity and compensability • Establish reserves and authorize payments within reserving authority limits • Communicate claim status with the customer, claimant, and client • Adhere to client and carrier guidelines and participate in claims review as needed • Collaborate with team members on more complex or problematic claims • Comply with safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (IIPP) • 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 to 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 expectations • Ability to work both independently and within a team environment

🏖️ 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 • Supportive culture • Comprehensive benefits package