CA Claims Specialist
2 weeks ago
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 assignedKNOWLEDGE & 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 environmentEDUCATION & 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 ExaminerPAY 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
-
CA Claims Specialist
2 weeks ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionJob DescriptionThe 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...
-
Senior Claims Specialist
2 weeks ago
Folsom, United States CorVel Full timeCorVel is seeking a CA Workers Compensation Sr. Claims Specialist. The CA Workers Compensation Sr. 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...
-
CA Claims Specialist
2 weeks ago
Folsom, United States CorVel Full timeThe 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 &...
-
CA Senior Claims Specialist
1 week ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob Description Job Description 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...
-
CA Claims Specialist
7 days ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob Description Job Description 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...
-
CA Senior Claims Specialist
2 weeks ago
Folsom, United States CorVel Corporation Full timeThe 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 Senior Claims Specialist
2 weeks ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionJob DescriptionThe 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...
-
CA Claims Specialist
2 weeks ago
Folsom, United States CorVel Corporation Full timeThe 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 &...
-
CA Claims Specialist
2 weeks ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionJob DescriptionThe 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....
-
CA Medical Only Claims Specialist
2 weeks ago
Folsom, United States CorVel Full timeThe 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 remote job opportunity. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms policy coverage and...
-
CA Medical Only Claims Specialist
7 days ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob Description Job Description 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 remote job opportunity. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms...
-
CA Medical Only Claims Specialist
2 weeks ago
Folsom, United States CorVel Corporation Full timeThe 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 remote job opportunity. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and...
-
CA Medical Only Claims Specialist
2 weeks ago
Folsom, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionJob DescriptionThe 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 remote job opportunity.ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Receives claims, confirms...
-
Claims Examiner
2 days ago
Folsom, United States Insight Global Full timeInsight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite role, 5 days a week onsite. This person will be responsible for ensuring claims are coded and processed correctly while meeting production requirements. This person will process claims by performing the following duties: adjudicating...
-
Claims Examiner
2 days ago
Folsom, United States Insight Global Full timeInsight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite role, 5 days a week onsite. This person will be responsible for ensuring claims are coded and processed correctly while meeting production requirements. This person will process claims by performing the following duties: adjudicating...
-
Claims Intake Specialist I
4 days ago
Folsom, United States Samuel Hale Full timePosition Overview **About Us** Based in Folsom CA with an office in Irvine CA, **Samuel Hale** is a data-driven entrepreneurial organization with a history of incubating new companies focused on Technology, Insurance, and Employment. Samuel Hale is truly unique and one of only 70 entities and municipalities granted the special designation by the State of...
-
Claims Examiner
3 weeks ago
Folsom, United States Fortuna BMC Full timePay: $20 - $26 per hour Location: Folsom, CA Employment Type: Full-time WHAT WE OFFER: Competitive pay rates based on experience and expertise Comprehensive benefits package including medical, dental, and vision coverage 401k with generous company match Ample paid time off and holidays Dynamic work environment with opportunities for growth and advancement...
-
Senior Workers Compensation Claims Adjuster
7 days ago
Folsom, United States Gallagher Full timeOverview Role specifics: - Jurisdictions: CA - Licenses: CA - Location: This role is eligible for fully remote work. How you'll make an impact • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. • Interact extensively with various parties involved...
-
Senior Workers Compensation Claims Adjuster
7 days ago
Folsom, United States Arthur J. Gallagher & Co. Full timeJoin our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and...
-
Claims Examiner l
7 days ago
Folsom, United States PrideStaff Full timeJob: Claims Examiner Processor Pay: $20-$26/hour Location: Folsom, CA Schedule: Mon-Fri (Business Hours) Full Time-Direct Hire Great Benefits, Including Medical, Dental, Vision, PTO, 401k & More..... Pridestaff Financial currently in search for a Medical Claims Examiner for one of our leading healthcare insurance providers. The service provider strives to...