Indemnity Claims Specialist

Essential Functions & Responsibilities

• Receives claims, confirms policy coverage and acknowledgment of the claim.
• Determines validity and compensability of the claim.
• Establishes reserves and authorizes payments within reserving authority limits.
• Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision.
• Communicates claim status with the customer, claimant, and client.
• Adheres to client and carrier guidelines and participates in claims review as needed.
• Assists other claims professionals with more complex or problematic claims as necessary.
• Requires regular and consistent attendance.
• Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”).
• Additional projects and duties as assigned.

Knowledge & Skills

• Excellent written and verbal communication skills.
• Ability to learn rapidly to develop knowledge and understanding of claims practice.
• Ability to identify, analyze and solve problems.
• Computer proficiency and technical aptitude with the ability to utilize MS 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.

Education & Experience

• Bachelor's degree or a combination of education and related experience.
• Minimum of 1 year of industry experience and claims management preferred.
• State Certification as an Experienced Examiner.

Pay Range

$51,807 – $83,551 (Pay rates are established taking into account federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.)

About CorVel

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health, and disability management industries. Founded in 1987, CorVel has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enables us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).

Benefits

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

Location

Remote position.

Category

Customer Service