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WC Medical Only Claims Specialist
1 month ago
WC Medical Only Claims SpecialistThe 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 the Claims Department and of CorVel.This is a remote position.ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Receives claims, confirms policy coverage and acknowledgement of the claimDetermines the validity and compensability of the claimEstablishes reserves and authorizes payments within established reserving authority limitsCommunicates claim status with the customer, claimant and clientAdheres to client and carrier guidelines and participates in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties as assignedKNOWLEDGE & SKILLS:Excellent customer service skillsExcellent written and verbal communication skillsFast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminologyAbility to identify, analyze and solve problemsComputer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheetsStrong interpersonal, time management, and organizational skillsAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:Bachelor's degree or a combination of education and related experienceMinimum of 1 year industry experience and claim handlingWC experience requiredLicensed as required jurisdictionallyPAY 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: $16.50 - $26.31 per hourA 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.
