Medical Only Claims Specialist

🔥 6 minutes ago

🌲 Oregon – Remote

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💵 $16 - $26 / 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 medical-only Workers’ Compensation claims under close supervision • Receive Workers’ Compensation claims and confirm policy coverage and claim acknowledgement • Determine claim validity and compensability • Establish reserves and authorize payments within established reserving authority limits • Communicate claim status with customers, claimants, and clients • Adhere to client and carrier guidelines • Participate in claims reviews as needed • Assist other claims professionals with more complex or problematic claims • Perform 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) 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 • Equal Opportunity Employer • Drug free workplace

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