Claims Specialist

CorVel; Norristown (Montgomery County); Remote; USD 51,000 - 84,000; Full time

Job summary

An established industry player is seeking a Claims Specialist to join their dynamic team. This remote role involves managing non-complex workers’ compensation claims, ensuring effective communication with clients and claimants, and adhering to company guidelines. The ideal candidate will possess excellent communication skills, a strong ability to analyze and solve problems, and a commitment to providing outstanding service. With a supportive culture and numerous opportunities for career advancement, this is a fantastic chance to grow within a stable and innovative organization dedicated to excellence in risk management solutions.

Benefits

Medical (HDHP) w/Pharmacy

Dental Insurance

Vision Insurance

401K

Paid Time Off

Life Insurance

Flexible Spending Account Options

Long Term Disability

Critical Illness Insurance

Pre-paid Legal Insurance

Qualifications

• Bachelor's degree or equivalent experience required.
• 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 identification and solving

Computer proficiency (MS Office, Excel)

Interpersonal skills

Time management

Organizational skills

Education

Bachelor's degree

State Certification as an Experienced Examiner

1 year of industry experience

Job description

CorVel is hiring a Claims Specialist for the Norristown, PA office. 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 role will be remote.

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.

Pay Range: $51,807 – $83,551

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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.

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