Claims Specialist

CorVel Corporation•Portland, OR

14d•$52,999 - $85,473•Remote

About The Position

The Workers’ Compensation Claims Specialist manages lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority and company best practices. The role aims to achieve the best possible claim outcomes while supporting the claims department and CorVel, and works under the direct supervision of a senior claims professional. This is a remote position.

Requirements

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.
Bachelor’s degree or a combination of education and related experience.
Current Workers’ Compensation license or certification, maintained throughout employment with CorVel.
Oregon workers’ compensation claims handling certification and/or Washington Self-Insured Claims Administrator certification and experience required.

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 claim validity and compensability.
Establish reserves and authorize payments within reserving authority limits.
Manage non-complex lost-time workers’ compensation claims under close supervision.
Communicate claim status to customers, claimants, and clients.
Follow client and carrier guidelines and participate in claims reviews as needed.
Assist other claims professionals with more complex or problematic claims as necessary.
Perform additional projects and duties as assigned.