Medical Only Claims Specialist

CorVel Corporation • Greenwood Village, CO

7d • $17 - $27 • Remote

About The Position

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic medical-only claims under close supervision, supporting the goals of the Claims Department and CorVel. This is a remote position.

Requirements

• Bachelor’s degree or a combination of education and related experience.
• Minimum of 1 year of industry experience and claim handling.
• Workers’ Compensation experience required.
• Arizona Adjuster license required.
• Excellent customer service skills.
• Excellent written and verbal communication skills.
• Ability to learn quickly and develop knowledge of claims practice, relevant statutes, and medical terminology.
• Ability to identify, analyze, and solve problems.
• Computer proficiency and technical aptitude, including use of Microsoft Office and Excel spreadsheets.
• Strong interpersonal, time management, and organizational skills.
• Ability to work independently and within a team environment.

Responsibilities

• Receive Workers’ Compensation claims, confirm policy coverage, and acknowledge the claim.
• Determine the validity and compensability of claims.
• Establish reserves and authorize payments within established reserving authority limits.
• 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 duties as assigned.

Benefits

• Medical (HDHP) with pharmacy
• 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