Claims Specialist

CorVel Corporation; Glen Allen (VA); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is looking for a Claims Specialist to manage lower-level workers' compensation claims. This remote role involves confirming policy coverage, determining claim validity, and communicating with clients. The ideal candidate will possess strong communication skills and a knack for problem-solving. Join a company known for its supportive culture and commitment to excellence, where you can grow your career in a stable environment. With a comprehensive benefits package and a focus on employee development, this is an opportunity not to be missed.

Benefits

Medical (HDHP) w/Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

Flexible Spending Account Options

Life Insurance

Accident Insurance

Critical Illness Insurance

401K and ROTH 401K

Qualifications

• Bachelor’s degree or equivalent experience required.
• Minimum of 1 year of claims management experience preferred.

Responsibilities

• Manage non-complex workers’ compensation claims under supervision.
• Communicate claim status with customers and clients.
• Establish reserves and authorize payments within limits.

Skills

Excellent written and verbal communication skills

Problem analysis and solving

Computer proficiency with MS Office

Interpersonal skills

Time management and organizational skills

Ability to work independently and in a team

Education

Bachelor's degree

1 year of industry experience

State Certification as an Experienced Examiner

Tools

MS Office

Job description

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

This is a remote role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• 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
• Manages non-complex and non-problematic medical only claims and minor 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
• Requires regular and consistent attendance
• 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 MS 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
• State Certification as an Experienced Examiner

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.

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.