Claims Specialist

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee lower-level, non-complex, and non-problematic workers’ compensation claims within assigned limited authority.

• Receive and verify workers’ compensation claims, ensuring policy coverage and acknowledgment of the claim.

• Assess the validity and compensability of claims.

• Set reserves and authorize payments within the limits of reserving authority.

• Manage straightforward lost-time workers’ compensation claims under close supervision.

• Provide updates on claim status to customers, claimants, and clients.

• Follow client and carrier guidelines while participating in claims reviews as necessary.

• Support claims professionals with more complex or problematic claims.

• Adhere to safety regulations and rules during working hours.

• Complete additional tasks and projects as assigned.

⛳️ Requirements

• Bachelor’s degree or a combination of education and relevant experience.

• At least 1 year of experience in the industry.

• A current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel.

• Exceptional written and verbal communication skills.

• Ability to quickly learn and gain knowledge and understanding of claims practices.

• Capacity to identify, analyze, and resolve issues effectively.

• Proficiency in computers and technical skills, including Microsoft Office and Excel spreadsheets.

• Strong interpersonal, time management, and organizational abilities.

• Capability to meet or surpass performance expectations.

• Ability to work independently as well as collaboratively within a team setting.

🏝️ Benefits

• Medical (HDHP) with Pharmacy.

• Dental insurance.

• Vision insurance.

• 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.

• Paid time off.

• Opportunities for career advancement.

• Remote work options.