Workers' Comp Indemnity Claims Specialist

CorVel; Lawrenceville (GA); Remote; USD 51,000 - 84,000; Full time

Job summary

An established industry player is seeking a Claims Specialist to manage non-complex workers' compensation claims in a work-from-home setting. This role involves confirming policy coverage, determining claim validity, and communicating with stakeholders. The ideal candidate will possess excellent communication skills, a strong ability to analyze and solve problems, and proficiency in MS Office. Join a dynamic team where your contributions will support the goals of the claims department and foster a collaborative work environment. If you're ready to take your career to the next level in a supportive organization, this opportunity is perfect for you.

Qualifications

• Bachelor's degree or equivalent education and experience required.
• 1+ years of claims management experience preferred.

Responsibilities

• Manage non-complex workers’ compensation claims under supervision.
• Communicate claim status with customers and clients.
• Establish reserves and authorize payments within limits.

Skills

Excellent written and verbal communication skills

Ability to learn rapidly

Problem identification and analysis

Computer proficiency with MS Office

Strong interpersonal skills

Time management skills

Organizational skills

Ability to work independently and in teams

Education

Bachelor's degree

1 year of industry experience

Tools

MS Office

Job description

The 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 work from home position, reporting to our Atlanta, GA office.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Receives 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 and non-problematic medical only claims and minor 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.
• Requires regular and consistent attendance.
• 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.

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 MS 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.
• Knowledge in handling TN, GA, and AL claims a plus along with appropriate WC adjuster licenses.

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.

Pay Range: $51,807 – $83,551

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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