WC Disability Claims Specialist I - NY Pension PPD

CorVel Corporation•Town of Salina, NY

6d•Remote

About The Position

The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews. This is a remote role.

Requirements

Excellent written and verbal communication skills
Ability to learn rapidly to develop knowledge and understanding of claims practice
Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Strong interpersonal, time management, and organizational skills
Ability to meet or exceed performance competencies
Ability to work both independently and within a team environment
Bachelor’s degree or a combination of education and related experience
State Certification as an Experienced Examiner
Minimum of 1 year of industry experience and claims management preferred

Nice To Haves

Preference for previous experience in WC disability benefit management

Responsibilities

Receives claims, confirms policy coverage and acknowledgement of the claim
Reviews for validity and compensability of the claim
Reviews and revises reserve and authorizes payments within reserving authority limits
Ensures timely and accurate payment of WC claim benefits, including indemnity and medical
Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits
Manages workers’ compensation claims toward closure (targeted case load is 250–300 files)
Develops strategies and pursues settlement and/or claim closures, whenever possible
Communicates claim status with the customer, claimant and client
Adheres to client and carrier guidelines and participates in claim reviews, as needed
Additional duties as assigned