Medical Only Claims Specialist

CorVel Co. • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Receives claims, confirms policy coverage and acknowledgement of the claim
Determines the validity and compensability of the claim
Establishes reserves and authorizes payments within established reserving authority limits
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
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, relevant statutes and medical terminology
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 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 industry experience and claim handling
WC experience required
Licensed as required jurisdictionally

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

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. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable 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 working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#J-18808-Ljbffr

Related Jobs

Overnight Emergency Veterinarian

Direct Jobs • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Internal medicine

3w ago

Apply

Registered Nurse (RN) - Intensive Care Unit (ICU) - 3x12 Nights

Centra Healthcare Solutions Inc • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Nurse Registered Nurse Nursing

3w ago

Apply

RN Wound Care PD's

HonorHealth • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Nurse Registered Nurse Nursing

3w ago

Apply

Senior Health Part-Time Nurse Practitioner Phoenix, AZ

One Medical • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Nurse Nursing Senior Level

3w ago

Apply

Senior Health Part-Time Nurse Practitioner Surprise, AZ

One Medical • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Nurse Nursing Senior Level

3w ago

Apply

District Support Pharmacist PT

CVS Health • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare

3w ago

Apply

Hunters & Closers - Earn Big Commissions Selling Terraboost

Terraboost Media LLC. • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare

3w ago

Apply

Veterinarian | $30k Sign On Bonus - Glendale, AZ

National Veterinary Associates • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Sign-On Bonus

3w ago

Apply

Audiologist

The Ihelp • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare

3w ago

Apply

Infusion Family Nurse Practitioner Part Time - Deer Valley Phoenix, AZ

340B Health • Hyde Park Township, IL, United States • $200k - $250k / year • 3w ago

Healthcare Nurse Nursing

3w ago

Apply