Current jobs related to WC Claims Specialist - Folsom - CorVel Corporation

  • Senior Claims Specialist

    2 weeks ago

    Folsom, United States CorVel Corporation Full time

    Job Title: Senior Claims SpecialistThe Senior Claims Specialist plays a critical role in managing complex and high-visibility workers' compensation claims within CorVel's standards and best practices. This position requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.Key...

  • Claims Supervisor

    1 month ago

    Folsom, California, United States CorVel Enterprise Comp, Inc. Full time

    Job Title: Claims SupervisorCorVel Enterprise Comp, Inc. is seeking a skilled Claims Supervisor to join our team. As a Claims Supervisor, you will be responsible for overseeing a team of claims professionals, ensuring that all quality, productivity, and customer service standards are met while adhering to company policies and procedures.Key...

  • CA Senior Claims Specialist

    1 week ago

    Folsom, United States CorVel Corporation Full time

    CorVel is seeking a full time Sr. Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ 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...

  • Claims Support Specialists

    3 weeks ago

    Folsom, United States The Hagerty Group, LLC Full time

    As a Claim Support Specialist, you will be responsible for providing exemplary customer service and phone support to the Claims department. In this role, you will play a crucial part in the claims management process by capturing First Notice of Loss (FNOL) for new claims, addressing existing claims inquiries, and processing simple claims. The person in this...

  • Senior Workers Compensation Claims Specialist

    4 weeks ago

    Folsom, California, United States GB - Global Full time

    About the RoleWe are seeking a highly skilled Senior Workers Compensation Claims Specialist to join our team at GB - Global. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving complex workers compensation claims with minimal direct supervision.Key ResponsibilitiesInvestigate and evaluate complex workers...

  • CA Senior Claims Specialist

    2 months ago

    Folsom, United States CorVel Corporation Full time

    The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to...

  • CA Claims Specialist

    5 months ago

    Folsom, United States CorVel Corporation Full time

    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity 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 opportunity.  ESSENTIAL FUNCTIONS &...

  • Claims Adjuster

    1 week ago

    Folsom, CA, United States George Hills Company Full time

    Job SummaryGeorge Hills Company is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for investigating, evaluating, and adjusting General and Automobile Liability claims.Key ResponsibilitiesInvestigate and analyze claims to determine the extent of insurance provider's liabilityCorrespond with claimants,...

  • Claims Service Representative Workers Compensation Specialist

    4 weeks ago

    Folsom, California, United States GB - Global Full time

    About the RoleWe are seeking a highly skilled Claims Medical Only Representative to join our team at GB Global. As a key member of our claims team, you will be responsible for providing exceptional administrative, claim, and customer support to our clients and claimants.Key ResponsibilitiesCommunicate effectively with claimants and clients to build...

  • Claims Assistant

    1 week ago

    Folsom, United States CorVel Corporation Full time

    The Claims Assistant will play a vital role in supporting the claims staff in the set-up and administration of workers' compensation claims and case management. This is a remote opportunity that requires excellent communication skills, PC literacy, and the ability to work independently and as part of a team.Key Responsibilities:Set up new claims and process...

  • Accounting Funding Specialist

    2 weeks ago

    Folsom, California, United States Benefit & Risk Management Services, Inc. Full time

    Job SummaryAs a key member of our team, the Funding Specialist plays a crucial role in ensuring the smooth operation of our financial services. This position is responsible for managing the funding process for Self-Funded Claims, reconciling bank statements, and processing daily claims and flex check runs.The ideal candidate will have a strong understanding...

  • Accounting Funding Specialist

    7 days ago

    Folsom, California, United States Benefit & Risk Management Services, Inc. Full time

    Job OverviewThe Funding Specialist plays a crucial role in managing banking duties and procedures associated with procuring and processing funding for Self-Funded Claims, account reconciliation, and check run processing. This position also involves related duties and procedures associated with incoming refunds and overpayments pertaining to claims.Key...

  • Accounting Funding Specialist

    2 weeks ago

    Folsom, California, United States Benefit & Risk Management Services, Inc. Full time

    Job SummaryThe Funding Specialist is a key member of our team, responsible for managing the financial aspects of our claims processing system. This includes procuring and processing funding for Self-Funded Claims, account reconciliation, and check run processing. The ideal candidate will have a strong understanding of banking procedures and be able to work...

  • Accounting Funding Specialist

    4 weeks ago

    Folsom, California, United States Benefit & Risk Management Services, Inc. Full time

    Job SummaryThe Funding Specialist plays a crucial role in the financial operations of our organization, responsible for managing the funding process for Self-Funded Claims, account reconciliation, and check run processing. This position requires strong analytical and problem-solving skills, as well as excellent communication and organizational abilities.Key...

  • Regulatory Compliance Specialist

    3 days ago

    Folsom, California, United States CorVel Healthcare Corporation Full time

    Job SummaryWe are seeking a highly skilled Regulatory Compliance Specialist to join our team at CorVel Healthcare Corporation. The successful candidate will be responsible for ensuring compliance with all jurisdictional regulations within the designated department, mitigating potential legal and other company cost exposure.This is a remote position that...

  • Business Operations Specialist

    4 days ago

    Folsom, United States George Hills Company Full time

    At George Hills Company, we are seeking a highly skilled Business Operations Specialist to support our financial planning, analysis, and reporting functions within the Subrogation department.The ideal candidate will have a strong background in financial analysis, accounting, or a related field, with experience in claims administration and subrogation. They...

  • Accounting Funding Specialist

    3 days ago

    Folsom, California, United States Benefit & Risk Management Services, Inc. Full time

    Job DescriptionAt Benefit & Risk Management Services, Inc., we are seeking a highly skilled Funding and Banking Specialist to join our team. As a key member of our accounting department, you will be responsible for managing the funding process for Self-Funded Claims, reconciling bank statements, and processing check runs.Key Responsibilities:Process...

  • Business Operations Specialist

    2 weeks ago

    Folsom, United States George Hills Company Full time

    Job Title: Business AnalystGeorge Hills Company is seeking a highly skilled Business Analyst to join our team. As a Business Analyst, you will play a critical role in supporting the financial planning, analysis, and reporting functions within the Subrogation department.Key Responsibilities:Collect, analyze, and interpret complex data to identify trends,...

  • Business Operations Specialist

    2 weeks ago

    Folsom, United States George Hills Company Full time

    Job SummaryWe are seeking a highly skilled Business Analyst to join our team at George Hills Company. As a Business Analyst, you will play a critical role in supporting the financial planning, analysis, and reporting functions within the Subrogation department.Key ResponsibilitiesCollect, analyze, and interpret complex data to identify trends, patterns, and...

  • Regulatory Compliance Specialist

    1 week ago

    Folsom, United States CorVel Corporation Full time

    The Regulatory Compliance Specialist is responsible for ensuring compliance with all jurisdictional regulations within the designated department, mitigating potential legal and other company cost exposure. This position is solely responsible for recommending and helping implement process and internal policy changes based on state regulation changes. This...

WC Claims Specialist

4 months ago

Folsom, United States CorVel Corporation Full time

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ 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 & RESPONSIBILITIES:

Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision 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 Requires regular and consistent attendance Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”) 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 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 meet or exceed performance competencies 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 of industry experience and claims management preferred State Certification as an Experienced Examiner

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: $24.32 - $39.23 per hour

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

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.

#LI- Remote