WC Disability Claims Specialist II - NY

This is a remote role.

About the role

The WC Disability Claims Specialist manages workers’ compensation claims within company best practices to achieve the best possible outcome, supporting the goals of the claims department and of CorVel. This role manages claims toward closure and looks for settlement opportunities throughout reviews.

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 caseload 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
• Additional duties as assigned

Requirements

• 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

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

Pay

Pay Range: $48,143 - $71,852

Benefits

• Medical (HDHP) with 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 and ROTH 401K
• 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 enables 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!).