WC Claims Specialist

CorVel Corporation•Downers Grove, IL

2d•$52,999 - $85,473•Remote

About The Position

The Workers’ Compensation Claims Specialist manages lower-level, non-complex, non-problematic workers’ compensation claims according to company best practices and within delegated limited authority. The role operates under the direct supervision of a senior claims professional and supports the goals of CorVel’s claims department. This is a remote position. The Specialist receives and evaluates claims, confirms coverage, determines compensability, establishes reserves, authorizes payments within assigned authority, and manages non-complex lost-time claims under close supervision. The role communicates claim status to customers, claimants, and clients, follows client and carrier guidelines, and supports other claims professionals as needed. CorVel is a national risk-management solutions provider founded in 1987, with more than 4,000 employees across the United States. The company describes itself as stable and growing, with a supportive culture and career advancement opportunities.

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 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.
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 experience preferred.

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.