Remote Workers' Comp Medical-Only Claims Specialist

CorVel Corporation; Rancho Cucamonga (CA); Hybrid; USD 52,000 - 72,000; Full time

Job summary

CorVel Corporation in the United States is seeking a Workers' Compensation Medical Only Claims Specialist to support the Claims Department. The role handles non-complex medical-only claims under close supervision and allows for remote work.

Ideal candidates bring at least 1 year of claims experience, a bachelor’s degree or equivalent, WC experience, and strong communication skills. The position emphasizes accuracy, collaboration, and adherence to client and carrier guidelines while supporting

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.
• Licensed as required jurisdictionally.
• SIP Certification Preferred.

Responsibilities

• 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.
• Additional duties as assigned.

Skills

Excellent written and verbal communica

Fast learner

Analytical problem solving

MS Office / Excel proficiency

Interpersonal skills

Time management

Team player

Bilingual (Preferred)

Education

Bachelor's degree or related experience

Minimum 1 year claims experience

Workers' Compensation experience

Licensed as required jurisdictionally

SIP Certification Preferred

Job description

CorVel Corporation in the United States is seeking a Workers' Compensation Medical Only Claims Specialist to support the Claims Department. The role handles non-complex medical-only claims under close supervision and allows for remote work.

Ideal candidates bring at least 1 year of claims experience, a bachelor’s degree or equivalent, WC experience, and strong communication skills. The position emphasizes accuracy, collaboration, and adherence to client and carrier guidelines while supporting