Workers' Compensation Claims Specialist

CorVel Career Site•Downers Grove, IL

1d•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 CorVel's claims department and seeks the best possible outcomes. This is a remote role. 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 to customers, claimants, and clients, adheres to client and carrier guidelines, and participates in claims reviews as needed. The specialist may also assist other claims professionals with more complex or problematic claims and perform additional assigned projects and duties. The position requires strong written and verbal communication, the ability to learn claims practices rapidly, problem-solving ability, computer proficiency including Microsoft Office and Excel, and strong interpersonal, time-management, and organizational skills. Candidates must be able to meet or exceed performance competencies and work independently as well as within a team. A bachelor's degree or a combination of education and related experience is required. At least one year of industry experience and claims management is preferred, and a current workers' compensation license or certification must be maintained throughout employment. The stated pay range is $52,999–$85,473. Pay may vary by location and other factors, and the range may be modified. CorVel describes itself as a stable, growing national provider of risk management solutions, with more than 4,000 employees across the United States and opportunities for career advancement. A comprehensive benefits package is available to full-time regular employees.

Requirements

Bachelor's degree or a combination of education and related experience.
Maintain a current workers' compensation license or certification throughout employment.
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 claims.
Determine claim validity and compensability.
Establish reserves and authorize payments within delegated 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.
Complete additional projects and duties as assigned.