CA WC Claims Specialist Floater (SIP)

About the role

The Workers’ Compensation Claims Specialist floater manages lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to achieve the best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of the claims department and CorVel. This is a remote/floater position and candidates must reside in California.

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. Founded in 1987 and publicly traded on NASDAQ since 1991, CorVel emphasizes accountability, commitment, excellence, integrity and teamwork (ACE‑IT!). Over 4,000 employees across the United States enjoy a strong, supportive culture and career advancement opportunities.

Responsibilities

• 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
• Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (IIPP)
• Additional projects and duties as assigned

Knowledge & Skills

• 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 with the ability to utilize Microsoft Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to meet or exceed performance competencies
• Ability to work both independently and within a team environment

Education & Experience

• Bachelor's degree or a combination of education and related experience
• Minimum of 1 year of industry experience and claims management preferred
• SIP experience required
• Bilingual in Spanish is preferred
• 4850 and Ed-Code experience preferred
• Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel

Benefits

A comprehensive benefits package is available for full-time regular employees and includes 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,