Claims Specialist

About the role

This is a remote position where you will manage lower-level, non-complex, and non-problematic workers’ compensation claims within delegated authority, under the direct supervision of a senior claims professional. The role supports the goals of CorVel’s claims department by ensuring claims are handled according to company best practices.

Responsibilities

• Receive Workers’ Compensation claims, confirm policy coverage, and acknowledge the claim.
• Determine validity and compensability of the claim.
• Establish reserves and authorize payments within reserving authority limits.
• Manage non-complex lost-time workers’ compensation claims under close supervision.
• Communicate claim status with the customer, claimant, and client.
• Adhere to client and carrier guidelines and participate in claims reviews as needed.
• Assist other claims professionals with more complex or problematic claims as necessary.
• Perform additional projects and duties as assigned.

Requirements

• Bachelor's degree or a combination of education and related experience.
• Minimum of 1 year of industry experience and claims management preferred.
• Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel.

Skills

• Excellent written and verbal communication skills.
• Ability to learn rapidly and develop knowledge of claims practices.
• Strong problem-solving and analytical skills.
• Computer proficiency, including Microsoft Office and Excel.
• Strong interpersonal, time management, and organizational skills.
• Ability to meet or exceed performance competencies.
• Ability to work both independently and within a team environment.

Pay

CorVel uses a market-based approach to pay, with salary ranges varying by location and factors such as federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal equity, and market conditions. The pay range for this role is $52,999 – $85,473. For leveled roles, new hires may be slotted into a different level based on experience, qualifications, and overall fit, which could impact the salary range.

Benefits

A comprehensive benefits package is available for full-time regular employees, including:

• Medical (HDHP) with Pharmacy
• Dental and Vision
• Long Term Disability
• Health Savings Account and Flexible Spending Account options
• Life Insurance, Accident Insurance, and Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K and ROTH 401K
• Paid time off

About CorVel

CorVel is a national provider of industry-leading risk management solutions for workers’ compensation, auto, health, and disability management industries. Founded in 1987 and publicly traded on the NASDAQ since 1991, CorVel is a certified Great Place to Work® company. With over 4,000 employees across the United States, CorVel embraces core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!). The company offers a stable, supportive culture with ample career advancement opportunities.