Claims Specialist

CorVel Career Site•Portland, OR

13d•Remote

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 and evaluates workers’ compensation claims, confirms coverage and claim acknowledgment, determines validity and compensability, and establishes reserves and authorizes payments within applicable authority limits. The role 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 complex or problematic claims as needed. The position requires strong communication, analytical, organizational and interpersonal skills; the ability to learn claims practices; and proficiency with Microsoft Office, including Excel. A bachelor’s degree or an equivalent combination of education and related experience is required. At least one year of industry experience and claims management is preferred. A current workers’ compensation license or certification must be maintained throughout employment. Oregon workers’ compensation claims handling certification and/or Washington Self-Insured Claims Administrator certification and experience are required. CorVel describes itself as a national provider of risk management solutions, founded in 1987 and publicly traded since 1991. It reports having over 4,000 employees across the United States and offers career advancement opportunities. Compensation is listed at $52,999–$85,473, with rates varying based on location and other factors. A comprehensive benefits package is available to full-time regular employees.

Requirements

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.
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

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

Responsibilities

Receive workers’ compensation claims, confirm policy coverage, and acknowledge the claim.
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 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.
Complete additional projects and duties as assigned.