Workers' Compensation Claims Specialist

CorVel Career Site•Nottingham, MD

3d•Hybrid

About The Position

The Workers’ Compensation Claims Specialist manages lower-level, non-complex, and non-problematic workers’ compensation claims within delegated limited authority, seeking the best possible outcome 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 applicable authority limits. The role manages non-complex lost-time claims under close supervision, communicates claim status to customers, claimants, and clients, follows client and carrier guidelines, and participates in claims reviews as needed. The specialist may also assist with more complex or problematic claims and take on additional projects and duties. CorVel is a national provider of risk management solutions for workers’ compensation, auto, health, and disability management. The company describes itself as stable and growing, with career advancement opportunities and a supportive culture. Full-time regular employees are offered a comprehensive benefits package.

Requirements

Experience handling Maryland workers’ compensation claims is required.
A bachelor’s degree or a combination of education and related experience is required.
Current Workers’ Compensation license or certification must be maintained 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

At least one year of industry experience and claims management is 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.