Claims Specialist

CorVel Career Site • Charlotte, NC

17d • 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, aiming for the best possible outcome. The position works under the direct supervision of a senior claims professional and supports the goals of the claims department and CorVel. This is a remote position.

The role receives workers’ compensation claims, confirms policy coverage and acknowledges claims, determines validity and compensability, establishes reserves, and authorizes payments within reserving authority limits. It manages non-complex lost-time claims under close supervision and communicates claim status to customers, claimants, and clients. The specialist follows client and carrier guidelines, participates in claims reviews as needed, and assists other claims professionals with more complex or problematic claims. Additional projects and duties may be assigned.

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 Workers’ Compensation license or certification 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 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

• 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.
• Perform additional projects and duties as assigned.

Benefits

• Medical (HDHP) with pharmacy coverage
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level