Claims Specialist - NY

CorVel Corporation; City of Syracuse (NY); Remote; USD 50,000 - 70,000; Full time

Job summary

CorVel Corporation recherche un Claims Specialist pour gérer des réclamations de travailleurs’ compensation sous supervision. Le candidat idéal possède un diplôme, une licence WC active à NY et au moins un an d'expérience dans le secteur. Ce poste, qui se déroule entièrement à distance, offre une culture stable et un ensemble complet d'avantages pour les employés réguliers.

Benefits

Assurance maladie

Soins dentaires

Assurance-vie

401K

Congés payés

Qualifications

• Minimum 1 an d'expérience dans la gestion de réclamations.
• Capacité à apprendre rapidement les pratiques de réclamations.
• Connaissance des réglementations d'assurance maladie.

Responsibilities

• Gérer les réclamations non complexes sous supervision.
• Confirmer la couverture de la police et la validité de la réclamation.
• Communiquer le statut de la réclamation aux clients.

Skills

Communication écrite et verbale

Résolution de problèmes

Compétences organisationnelles

Education

Bachelor's degree

State Certification as an Experienced Examiner

Active WC license in NY

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
• Active WC license in NY is required

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.

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.