Remote Workers' Comp Claims Specialist

CorVel Corporation; City of Syracuse (NY); Híbrido; USD 50.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical (HDHP) w/Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

Flexible Spending Account Options

Life Insurance

Accident Insurance

Critical Illness Insurance

Parking and Transit FSA accounts

401K

ROTH 401K

Paid time off

Descripción de la vacante

CorVel Corporation in New York is seeking a Workers’ Compensation Claims Specialist to support the claims department by handling lower-level, non-complex claims with delegated authority under supervision. This is a remote role and involves processing claims, confirming coverage, and communicating with clients and claimants.

The position emphasizes accuracy, timely reserves, and adherence to guidelines, with opportunities to assist more complex claims as needed and to participate in regular

Formación

• Bachelor's degree or a combination of education and related experience.
• Minimum of 1 year of industry experience and claims management preferred.
• Excellent written and verbal communication skills and ability to work independently or in a team.

Responsabilidades

• 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 auto and general liability 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.
• Additional projects and duties as assigned.

Conocimientos

Communication skills

Learning agility

Problem solving

Excel

Teamwork

Time management

Educación

Bachelor's degree

Herramientas

Microsoft Office

Descripción del empleo

The NY Workers’ Compensation 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 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 auto and general liability 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
• 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 Microsoft 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

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.

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.

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.