WC Disability Claims Specialist I - NY Pension PPD

About the role

The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role is a remote position.

Responsibilities

• Receives claims, confirms policy coverage and acknowledges the claim
• Reviews for validity and compensability of the claim
• Reviews and revises reserve and authorizes payments within reserving authority limits
• Ensures timely and accurate payment of WC claim benefits, including indemnity and medical
• Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits
• Manages workers’ compensation claims toward closure (targeted case load is 250–300 files)
• Develops strategies and pursues settlement and/or claim closures, whenever possible
• Communicates claim status with the customer, claimant and client
• Adheres to client and carrier guidelines and participates in claim reviews, as needed

Requirements

Essential Functions & Responsibilities

Qualifications

Knowledge & Skills

• Excellent written and verbal communication skills
• Ability to learn rapidly to develop knowledge and understanding of claims practice
• Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making
• 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

Skills

Education & Experience

• Bachelor’s degree or a combination of education and related experience
• State Certification as an Experienced Examiner
• Minimum of 1 year of industry experience and claims management preferred
• Preference for previous experience in WC disability benefit management

Pay

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

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, 401K, ROTH 401K, and paid time off.

About CorVel

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. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).