Medical Only Claims Specialist

🔥 13 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim • Determines the validity and compensability of the claim • Establishes reserves and authorizes payments within established reserving authority limits • 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 • Performs additional duties as assigned

🎯 Requirements

• Bachelor's degree or a combination of education and related experience • Minimum of 1 year industry experience and claim handling • Workers’ Compensation experience required • Licensed as required jurisdictionally • Excellent customer service skills • Excellent written and verbal communication skills • Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology • Ability to identify, analyze and solve problems • Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets • Strong interpersonal, time management, and organizational skills • 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 • Remote work • Career advancement opportunities • Supportive culture