Claims Specialist

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

📋 Description

• Receive Workers’ Compensation claims, verify policy coverage, and acknowledge claims.

• Assess claim validity and compensability.

• Set reserves and authorize payments within designated reserving authority limits.

• Oversee non-complex lost-time workers’ compensation claims with close supervision.

• Update customers, claimants, and clients on claim status.

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

• Support other claims professionals with more intricate or challenging claims.

• Carry out additional projects and responsibilities as assigned.

⛳️ Requirements

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

• At least 1 year of industry experience with a preference for claims management.

• Must maintain a current license or certification in Workers’ Compensation throughout employment with CorVel.

• Minimum of 2 years’ experience handling Oregon workers’ compensation claims.

• Exceptional written and verbal communication skills.

• Quick learner with the ability to develop knowledge of claims practices.

• Strong problem identification, analysis, and resolution skills.

• Proficient in computer operations and possess technical aptitude.

• Competent in utilizing Microsoft Office, including Excel spreadsheets.

• Strong interpersonal, time management, and organizational skills.

• Capability to meet or exceed performance competencies.

• Ability to work independently as well as collaboratively in a team environment.

🏝️ Benefits

• Medical (HDHP) w/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.

• Career advancement opportunities.

• Supportive culture.