CA WC Claims Specialist

CorVel Career Site•Rancho Cucamonga, CA

3d•Remote

About The Position

The CA 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 and evaluates claims, manages non-complex lost-time claims under close supervision, and communicates claim status with customers, claimants, and clients. The role also follows client and carrier guidelines, assists other claims professionals as needed, and complies with applicable safety rules and regulations during working hours. The stated pay range is $25.48–$41.09 per hour. Pay may vary by location and is determined using factors including job-related skills, experience, qualifications, internal equity, and market conditions. A comprehensive benefits package is available to full-time regular employees. The position requires a current workers’ compensation license or certification to be maintained throughout employment.

Requirements

Bachelor’s degree or a combination of education and related experience.
A current workers’ compensation license or certification, which must be maintained throughout employment with CorVel.
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 the 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

Minimum of 1 year of industry experience and claims management preferred.

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 the customer, claimant, and client.
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.