Remote Workers’ Comp Claims Specialist

CorVel Corporation; Portland (OR); Remote; USD 55,000 - 75,000; Full time

Job summary

CorVel Corporation seeks a Workers’ Compensation Claims Specialist to manage non-complex workers’ compensation claims from a remote location. You will verify coverage, determine eligibility, and establish reserves under supervision, while communicating with customers and clients.

The role emphasizes adherence to guidelines and collaboration with the claims team. Ideal candidates have a bachelor’s degree, 1+ year of industry experience, and an active Workers’ Compensation license; Oregon

Qualifications

• Bachelor's degree or equivalent experience.
• Active Workers’ Compensation license/certification.
• Minimum 1 year of industry claims experience; 2 years in Oregon preferred.

Responsibilities

• Receives and files Workers’ Compensation claims.
• Confirms policy coverage and acknowledgment of claims.
• Determines claim validity and compensability.
• Establishes reserves and authorizes payments within limits.
• Manages non-complex lost-time claims under supervision.
• Communicates status with customers, claimants and clients.
• Adheres to guidelines and participates in reviews.
• Assists more complex or problematic claims as needed.
• Performs additional projects as assigned.

Skills

Communication skills

Learning ability

Problem solving

Excel proficiency

Interpersonal skills

Teamwork

Education

Bachelor's degree

Workers’ Compensation license

Oregon claims experience

Tools

Microsoft Excel

Claims processing software

Job description

CorVel Corporation seeks a Workers’ Compensation Claims Specialist to manage non-complex workers’ compensation claims from a remote location. You will verify coverage, determine eligibility, and establish reserves under supervision, while communicating with customers and clients.

The role emphasizes adherence to guidelines and collaboration with the claims team. Ideal candidates have a bachelor’s degree, 1+ year of industry experience, and an active Workers’ Compensation license; Oregon