Hybrid Workers' Comp Claims Specialist

CorVel Corporation

Maryland

Hybrid

USD 53,000 - 85,000

Full time

4 days ago
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Benefits offered by this job

Medical benefits
Dental and Vision
401K
Paid time off

Job summary

CorVel Corporation in the United States is seeking a Workers’ Compensation Claims Specialist to handle lower-level, non-complex workers’ compensation claims under supervision, aligning with company best practices and the claims department’s goals.

This hybrid role emphasizes timely communication with claimants and clients, adherence to guidelines, and collaboration with senior staff to resolve cases efficiently while developing expertise in claims management.

Qualifications

  • Bachelor’s degree or an equivalent combination of education and related experience.
  • Minimum of 1 year of industry experience in claims management preferred.
  • Current license or certification in Workers’ Compensation must be maintained.

Responsibilities

  • Receives workers’ compensation claims, confirms policy coverage and acknowledgment.
  • Determines validity and compensability of the claim.
  • Establishes reserves and authorizes payments within authority limits.
  • Manages non-complex 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.
  • Performs additional projects and duties as assigned.

Skills

Communication
Rapid learning
Problem solving
Microsoft Office
Teamwork
Time management
Independent work

Education

Bachelor's degree or equivalent
1 year claims experience
Workers’ Compensation license

Job description

CorVel Corporation in the United States is seeking a Workers’ Compensation Claims Specialist to handle lower-level, non-complex workers’ compensation claims under supervision, aligning with company best practices and the claims department’s goals.

This hybrid role emphasizes timely communication with claimants and clients, adherence to guidelines, and collaboration with senior staff to resolve cases efficiently while developing expertise in claims management.

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