CA Liability Claims Specialist

CorVel Corporation; Rancho Cucamonga (CA); In loco; USD 60.000 - 85.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical (HDHP) w/ Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

Flexible Spending Account Options

Life Insurance

401K

ROTH 401K

Paid time off

Parking and Transit FSA

Descrizione del lavoro

CorVel is seeking a Liability Claims Specialist to manage non-complex medical and minor liability claims under supervision, ensuring optimal outcomes for CorVel and our clients. This is a remote role with responsibilities from intake to reserving and client communication.

The ideal candidate will have at least 1 year of claims experience, a current adjuster license, and strong written and verbal skills, capable of independent work or teamwork while adhering to guidelines and safety rules.

Competenze

• Minimum of 1 year of industry experience and claims management preferred.
• Bachelor's degree or a combination of education and related experience.
• Current Adjuster’s License in state of operation is required.
• Multi-State license is preferred.

Mansioni

• Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision
• Receives 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
• Communicates claim status with the customer, claimant, and client
• Adheres to client and carrier guidelines and participates in claims review as needed
• Collaborates with team members on 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 duties as assigned

Conoscenze

Communication

Rapid learning

Analytical thinking

Time management

Teamwork

Independent work

Attention to detail

Formazione

Bachelor's degree

Education and related experience

Strumenti

Microsoft Office

Descrizione del lavoro

The Liability Claims Specialist managesnon-complex and non-problematicLiability claims under direct supervision of a senior claims professional.This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and workswithdelegated limited authority, adhering to company best practices.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision
• Receives 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
• Communicates claim status with the customer, claimant, and client
• Adheres to client and carrier guidelines and participates in claims review as needed
• Collaborates with team members on 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 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 performanceexpectations
• Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

• Minimum of 1 year of industry experience and claims management preferred
• Bachelor's degree or a combination of education and related experience
• Current Adjuster’s License in state of operation is required
• Multi-State license is preferred

PAY RANGE

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.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

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!).

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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.