Remote Bilingual Workers' Comp Claims Specialist

CorVel Corporation; Rancho Cucamonga (CA); On-site; USD 34,440 - 56,481; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401K

Job summary

CorVel Corporation is seeking a Workers’ Compensation Claims Specialist for a remote role that supports the claims team by handling lower-level, non-complex claims under supervision. The position emphasizes adherence to best practices and collaboration with clients and claimants.

The role includes determining claim validity, establishing reserves, and authorizing payments within authority limits, with opportunities to assist on more complex claims as needed.

Qualifications

• Bachelor's degree or a combination of education and related experience.
• Minimum of 1 year of industry experience and claims management preferred.
• Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel.

Responsibilities

• Receives Workers’ Compensation 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 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.
• 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.

Skills

Communication

Learning ability

Problem solving

Excel

Time management

Teamwork

Education

Bachelor's degree

Claims experience preferred

Tools

Microsoft Office

Claims management software

Job description

CorVel Corporation is seeking a Workers’ Compensation Claims Specialist for a remote role that supports the claims team by handling lower-level, non-complex claims under supervision. The position emphasizes adherence to best practices and collaboration with clients and claimants.

The role includes determining claim validity, establishing reserves, and authorizing payments within authority limits, with opportunities to assist on more complex claims as needed.