workers' compensation claims specialist

CorVel Corporation

<div>The Workers&rsquo; Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

 This is an onsite role in Brooklyn, NY. Once full trained, the employee will be able to work from home one day per week.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional projects and duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


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.

Pay Range: $52,999 - $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

#LI-Onsite</div>

No Fault Claims Specialist - NY

<div>The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claim, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim</li>
<li>Coordinates early return-to-work efforts with the appropriate parties</li>
<li>Manages subrogation and litigation of claim as it applies</li>
<li>Manages potential claim recoveries of all types</li>
<li>Reports claims to the excess carrier when applicable</li>
<li>Communicates claim status with the customer and claimant</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Develops and maintains professional customer relationships</li>
<li>Complies with rules and regulations of applicable state</li>
<li>Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (&ldquo;IIPP&rdquo;)</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to assist team members to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to work both independently and within a team environment</li>
<li>Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers&rsquo; Compensation</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 3 years&rsquo; industry experience and claim handling</li>
<li>Self-Insured Certificate preferred</li>
<li>State Certification or license as an experienced claims adjuster</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


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.

Pay Range: $29.35 - $47.28 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

#LI-Remote</div>

CA Senior WC Claims Specialist

Arrow Exterminators

<div>Arrow Exterminators is currently seeking a highly skilled and proactive WC Claims Specialist to lead and oversee the day-to-day management of our Workers' Compensation (WC) claims. The ideal candidate will be responsible for collaborating with our Third-Party Administrator (TPA), ensuring timely, accurate, and cost-effective claim handling, maintaining compliance with applicable state WC laws, and supporting business goals through strategic claims management.
Key Responsibilities<ul><li>
Oversee and coordinate all aspects of reporting, documenting, and managing workers' compensation claims.</li><li>
Serve as the primary liaison between the company and the TPA for claims handling, escalation, and resolution.</li><li>
Monitor claim activity to ensure timely investigations, accurate compensability decisions, and adherence to best practices.</li><li>
Analyze claim trends and outcomes; prepare reports for leadership on costs, reserves, and risk exposure.</li><li>
Collaborate with HR, the SVP of Risk Management, Safety, and Operations teams to support return-to-work initiatives and ensure modified duty assignments are effectively implemented.</li><li>
Review and challenge reserves, settlements, and litigation strategies to control costs and achieve favorable outcomes.</li><li>
Ensure compliance with state workers' compensation statutes, reporting deadlines, and internal policies.</li><li>
Conduct periodic claim reviews with the TPA and internal stakeholders to assess performance and identify areas for improvement.</li><li>
Provide training and guidance to internal staff on workers' compensation procedures and protocols.</li></ul>
Qualifications<ul><li>
Bachelor's degree in Business Administration, Risk Management, Human Resources, or related field (preferred).</li><li>
3+ years of experience in workers' compensation claims management, with direct oversight of WC claims.</li><li>
Knowledge of workers' compensation state laws and claims handling practices.</li><li>
Experience working directly with TPAs, attorneys, and medical providers.</li><li>
Exceptional communication and negotiation skills with the ability to build strong professional relationships.</li><li>
Proficient in claims management systems and Microsoft Office Suite.</li><li>
Strong analytical, organizational, and problem-solving skills.</li><li>
Ability to manage multiple priorities in a fast-paced environment.</li></ul>
Preferred Attributes<ul><li>
A proactive, hands-on approach to claims oversight.</li><li>
Strong attention to detail and accuracy.</li><li>
Ability to influence outcomes through effective advocacy and collaboration.</li><li>
Proven track record of reducing claim costs and improving return-to-work outcomes.</li></ul>
ARE YOU READY TO JOIN OUR TEAM?
If you feel that you would be an ideal fit for this opportunity, please complete an initial 3- minute, mobile-friendly application so that we can review your information. We look forward to learning more about you!
We are an Equal Opportunity and a Drug-Free Workplace
The job description is not an exhaustive statement of all the duties, responsibilities, or qualifications of the job, nor is it intended to limit opportunities for necessary modifications. #ArrowExterminators 
Arrow Exterminators as a PestVets Company is committed to hiring and participating in acts of service for Veterans and active-duty members of the U.S. Military.</div>

Claims Specialist - Workers' Compensation

Encova Insurance

<div>The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary
The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.
For candidates residing in certain states such as Illinois, the salary range is $59,630 to $119,670 annually + bonus + benefits. Pay Type: Salary
While we may prefer candidates who can work remote in Illinois, we will consider candidates who live in any of our listed payroll approved states that have the necessary jurisdictional experience.
Lost Time Workers' Compensation claims handling experience in any of the following states Illinois, Wisconsin, Kentucky, Indiana, and Iowa is strongly preferred.
The position reports to the Director, Workers' Compensation Claims. We may hire a senior level depending on the candidate's background and experience and the salary range is inclusive of all levels.
Are you a Referral?
If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.
Unique residence requirements are listed in each job posting, please review closely for details.
Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:
Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
JOB OBJECTIVE:
The Lost Time Claims Specialist, Workers&rsquo; Compensation primarily manages indemnity claims. The Lost Time Claims Specialist is responsible for the investigation, evaluation, and determination of compensability for work-related injury and disease claims following established guidelines to determine benefit eligibility. The Lost Time Claims Specialist also serves as a resource to Medical Only Claims Specialists and Claims Specialist Trainees. The position&rsquo;s objective is to provide superior service in a cost-effective manner to achieve best possible outcomes as well as proactively collaborate across the enterprise to ensure alignment of objectives and foster continuous improvement.
ESSENTIAL FUNCTIONS: 
1. Evaluates and establishes an action plan to manage medical and indemnity benefits associated with injury and occupational disease claims to their most cost- effective conclusion. 
2. Decides the outcome of the claim using sound judgment by applying established policy, procedures, regulations and guidelines. 
3. Gathers facts by conducting interviews with all involved parties and considers all the elements of the claim prior to issuing a decision. 
4. Take recorded statements when necessary. 
5. Determines eligibility of indemnity and medical benefits once salary information and medical treatment plans have been secured and processed within the designated authority levels. 
6. Utilize proactive reserving behaviors to ensure adequate case reserves which reflect the probable ultimate outcome based on the current known circumstances throughout the life of the claim. 
7. Actively identifies and develops the investigation of and pursuit of subrogation recoveries when possible. 
8. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate. 
9. Works collaboratively with the injured worker, employer, outside counsel, and health and rehabilitation professionals to manage the claims costs and promote quality medical care. 
10. Works collaboratively with the injured worker, employer, assigned return to work specialist, and medical providers to facilitate the injured worker&rsquo;s safe and timely return to work. 
11. Manages claims litigation, including expenses, by collaborating and providing direction to panel counsel throughout the life of the claim. 
12. Analyzes reports from external resources such as physicians, attorneys, and/or vocational rehabilitation experts to evaluate and adjust claim strategies as needed.
 
13. Evaluates and negotiates claim settlements utilizing human relation skills and technical knowledge to achieve the best possible outcome. 
14. Presents and summarizes claim details at internal team staffing, participates in discussions, and provides guidance as needed. 
15. Consults with assigned claim director if the loss becomes significantly complex or presents significantly increasing financial exposure. 
16. Follows established claims best practices related to medical management, litigation, fraud/abuse and recovery. 
17. Effectively and independently uses available resources to prioritize, organize, and complete work in a timely manner to meet jurisdictional requirements, timeframes, and internal metrics. 
18. Develops presentations for special projects such as internal/external meetings and conferences as needed. 
19. Along with the claim director, regional vice president and other claims staff, participates in claim reviews, onboardings, etc. for our policyholders and agents. 
20. Proactively collaborate with our policyholders to ensure alignment of objectives and foster continuous improvement.
OTHER FUNCTIONS: 
1. Nonessential function: other duties as assigned.<div> 
KNOWLEDGE, SKILLS AND ABILITIES: 
<ul><li>Bachelor&rsquo;s Degree from an accredited college or university is preferred.</li><li>Three years of experience in the field of workers&rsquo; compensation insurance required.</li><li>Ability to manage claims through the litigation process.</li><li>Internal candidates must demonstrate knowledge of Encova Best Practices guidelines and meet quality standards.</li><li>One valid workers&rsquo; compensation adjuster license is strongly preferred. Must be eligible to obtain additional licenses as required.</li><li>Must pass the claims adjuster license exam(s) as assigned within 90 days of being hired.</li><li>Preference may be shown to candidates with multiple state claims management experience.</li><li>Experience in workers&rsquo; compensation claims practices and laws, court procedures, precedents and state statutes.</li><li>Ability to use logic and sound reasoning to identify alternative solutions for problem-solving.</li><li>Strong written and verbal communication skills.</li><li>Strong analytical skills.</li><li>Ability to multitasks and manage time effectively and productively.</li><li>Work effectively independently as well as in a team environment.</li><li>Develop and maintain strong, effective internal and external relationships.</li><li>Work effectively in a paperless environment.</li><li>Skilled in the use of laptops, claims management systems, and other typical business-related programs such as Microsoft Office suite.</li></ul></div>
This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.
Ready to join our team? 
At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential.
What you can expect from us
In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to:<ul><li>
Health, Dental &amp; Vision Insurance</li><li>
Company-provided life and income protection plans</li><li>
Eligibility to participate in a company incentive bonus program</li><li>
401(k) Retirement Plan - 100% company match up to 7% on annual salary</li><li>
Paid Time Off, Paid Holidays, and Floating Holidays</li><li>
Flexible Work Arrangements - Hybrid and remote depending on the role</li></ul>
We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally.
Encova Insurance is an EOE/E-Verify employer.
#LI-Remote#LI-MF1</div>

Lost Time Claims Specialist - Workers' Compensation

<div>The WC Disability Claims Specialist manages within company best practices workers&rsquo; compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews.

This is a remote role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives claims, confirms policy coverage and acknowledgement of the claim</li>
<li>Reviews for validity and compensability of the claim</li>
<li>Reviews and revises reserve and authorizes payments within reserving authority limits</li>
<li>Ensures timely and accurate payment of WC claim benefits, including indemnity and medical</li>
<li>Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits</li>
<li>Manages workers&rsquo; compensation claims toward closure (targeted case load is 250&ndash;300 files)</li>
<li>Develops strategies and pursues settlement and/or claim closures, whenever possible</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claim reviews, as needed</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree or a combination of education and related experience</li>
<li>State Certification as an Experienced Examiner</li>
</ul><ul><li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>Preference for previous experience in WC disability benefit management</li></ul> 


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.

Pay Range: $43,886 - $65,638

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

#LI-Remote</div>

WC Disability Claims Specialist I - NY Pension PPD

<div>The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

 This is a remote position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex and non-problematic medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>State Certification as an Experienced Examiner</li></ul> 


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.

Pay Range: $52,999 &ndash; $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

#LI-Remote</div>

Claims Specialist

<div>
 The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
 
 
 This is a remote position.
 
 
 
 Essential Functions &amp; Responsibilities
 
 
 
 <ul>
 <li>
 Receives claims, confirms policy coverage and acknowledgment of the claim
 </li>
 <li>
 Determines validity and compensability of the claim
 </li>
 <li>
 Establishes reserves and authorizes payments within reserving authority limits
 </li>
 <li>
 Manages non-complex and non-problematic medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision
 </li>
 <li>
 Communicates claim status with the customer, claimant and client
 </li>
 <li>
 Adheres to client and carrier guidelines and participates in claims review as needed
 </li>
 <li>
 Assists other claims professionals with more complex or problematic claims as necessary
 </li>
 <li>
 Additional duties as assigned
 
 
 </li>
 </ul>
 
 Knowledge &amp; Skills
 
 
 
 <ul>
 <li>
 Excellent written and verbal communication skills
 </li>
 <li>
 Ability to learn rapidly to develop knowledge and understanding of claims practice
 </li>
 <li>
 Ability to identify, analyze and solve problems
 </li>
 <li>
 Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
 </li>
 <li>
 Strong interpersonal, time management and organizational skills
 </li>
 <li>
 Ability to meet or exceed performance competencies
 </li>
 <li>
 Ability to work both independently and within a team environment
 
 
 </li>
 </ul>
 
 Education &amp; Experience
 
 
 
 <ul>
 <li>
 Bachelor's degree or a combination of education and related experience
 </li>
 <li>
 Minimum of 1 year of industry experience and claims management preferred
 </li>
 <li>
 State Certification as an Experienced Examiner
 
 
 </li>
 </ul>
 
 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.
 
 
 Pay Range: $52,999 &ndash; $85,473
 
 
 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
 
 
 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&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.
 
 
 
</div>

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