Claims Specialist

CorVel Career Site•Glen Allen, VA

6d•Hybrid

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

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.

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 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.
Perform additional projects and duties as assigned.