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 hybrid 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 Customer Service 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.
Pay Range: $15.98 - $25.69 per hour
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.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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