Remote Medical-Only Claims Specialist

CorVel Brand; Denver, Englewood (CO, CO); À distance; USD 52 000 - 76 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision

401K

Paid time off

Parking and transit benefits

Résumé du poste

CorVel is seeking a Workers’ Compensation Medical Only Claims Specialist to manage non-complex medical-only claims under supervision, supporting the Claims Department and CorVel’s clients from the Denver, CO area in a remote capacity.

You will receive claims, confirm coverage, determine validity and compensability, establish reserves, and authorize payments within limits while keeping stakeholders informed.

Qualifications

• Bachelor's degree or a combination of education and related experience.
• Minimum of 1 year industry experience and claim handling.
• Workers’ Compensation experience required.

Responsabilités

• Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim.
• Determines the validity and compensability of the claim.
• Establishes reserves and authorizes payments within established reserving authority limits.
• 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.

Connaissances

Excellent communication

Analytical thinking

MS Excel

Teamwork & independence

Medical terminology

Claims practice knowledge

Formation

Bachelor's degree

Related experience

Outils

Excel

MS Office

Claims software

Description du poste

CorVel is seeking a Workers’ Compensation Medical Only Claims Specialist to manage non-complex medical-only claims under supervision, supporting the Claims Department and CorVel’s clients from the Denver, CO area in a remote capacity.

You will receive claims, confirm coverage, determine validity and compensability, establish reserves, and authorize payments within limits while keeping stakeholders informed.