CA Claims Specialist
About The Position
The Workers’ Compensation Claims Specialist manages lower-level, non-complex, and non-problematic workers’ compensation claims within delegated limited authority, following company best practices and under the direct supervision of a senior claims professional. The role supports the goals of the claims department and CorVel and is remote. The specialist receives claims, confirms policy coverage, determines claim validity and compensability, establishes reserves, and authorizes payments within applicable authority limits. The position also manages non-complex lost-time claims under close supervision, communicates claim status with customers, claimants, and clients, follows client and carrier guidelines, and assists other claims professionals with more complex claims as needed. A current workers’ compensation license or certification must be maintained throughout employment. CorVel describes itself as a stable, growing company offering career advancement opportunities. A comprehensive benefits package is available to full-time regular employees.
Requirements
- Bachelor’s degree or a combination of education and related experience.
- Minimum of 1 year of industry experience; claims management experience is preferred.
- Maintain a current license or certification in Workers’ Compensation throughout employment.
- Excellent written and verbal communication skills.
- Ability to learn rapidly and develop knowledge and understanding of claims practice.
- Ability to identify, analyze, and solve problems.
- Computer proficiency and technical aptitude, including ability to use Microsoft Office and Excel spreadsheets.
- Strong interpersonal, time management, and organizational skills.
- Ability to meet or exceed performance competencies.
- Ability to work independently and within a team environment.
Nice To Haves
- Claims management experience.
Responsibilities
- Receive workers’ compensation claims, confirm policy coverage, and acknowledge claims.
- Determine the validity and compensability of claims.
- Establish reserves and authorize payments within reserving authority limits.
- Manage non-complex lost-time workers’ compensation claims under close supervision.
- Communicate claim status with customers, claimants, and clients.
- Adhere to client and carrier guidelines and participate in claims reviews as needed.
- Assist other claims professionals with more complex or problematic claims as necessary.
- Comply with safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (IIPP).
- Perform additional projects and duties as assigned.
Benefits
- Medical (HDHP) with pharmacy
- Dental insurance
- Vision insurance
- Long-term disability insurance
- Health Savings Account
- Flexible Spending Account options
- Life insurance
- Accident insurance
- Critical illness insurance
- Pre-paid legal insurance
- Parking and Transit FSA accounts
- 401(k)
- ROTH 401(k)
- Paid time off
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
