We have other current jobs related to this field that you can find below
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Senior Liability Claims Specialist
3 days ago
Rancho Cucamonga, United States CorVel Full timeCorVel is seeking a Senior Liability Claims Specialist. The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. This is a remote position. ESSENTIAL FUNCTIONS &...
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Senior Liability Claims Specialist
4 weeks ago
Rancho Cucamonga, United States CorVel Corporation Full timeCorVel is seeking a Senior Liability Claims Specialist. The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. This is a remote position. ESSENTIAL...
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Senior Liability Claims Specialist
4 weeks ago
Rancho Cucamonga, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionJob DescriptionCorVel is seeking a Senior Liability Claims Specialist. The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. This is a remote...
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Senior Claims Specialist
3 months ago
Rancho Cucamonga, 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...
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Claims Specialist
3 months ago
Rancho Cucamonga, United States CorVel Corporation Full timeThe 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...
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Claims Specialist
3 months ago
Rancho Cucamonga, 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...
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CA Senior Claims Specialist
1 month ago
Rancho Cucamonga, 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...
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CA Senior Claims Specialist
1 month ago
Rancho Cucamonga, 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...
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CA Senior Claims Specialist
1 month ago
Rancho Cucamonga, 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...
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CA Senior Claims Specialist
1 month ago
Rancho Cucamonga, 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...
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CA Senior Claims Specialist
5 days ago
Rancho Cucamonga, 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...
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CA Senior Claims Specialist
1 week ago
Rancho Cucamonga, 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...
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CA Medical Only Claims Specialist
4 weeks ago
Rancho Cucamonga, United States CorVel Corporation Full timeCorVel in Rancho Cucamonga, CA is seeking a full time Medical Only Claims Specialist. 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 role. ESSENTIAL...
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CA Medical Only Claims Specialist
4 weeks ago
Rancho Cucamonga, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionJob DescriptionCorVel in Rancho Cucamonga, CA is seeking a full time Medical Only Claims Specialist. 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...
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Claims Assistant
3 months ago
Rancho Cucamonga, United States CorVel Corporation Full timeThe Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. This is a hybrid work arrangement. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until...
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Claims Assistant
5 days ago
Rancho Cucamonga, United States CorVel Corporation Full timeThe Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. This is a hybrid work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until...
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Property Claims Specialist Field I
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Rancho Cucamonga, United States Mercury General Full timeJoin an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2024! This position will be supporting our San Bernardino/High Desert TerritoryPosition Summary: If you're passionate about helping people restore their lives when the unexpected...
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Senior Claims Analyst
4 days ago
Rancho Cordova, California, United States Dignity Health Full timePosition Overview:The Senior Claims Examiner plays a crucial role in ensuring the integrity and accuracy of claims processing within the organization.Key Responsibilities:1. Conduct comprehensive quality reviews of daily claims processed by Claims Examiners.2. Oversee data entry tasks related to claims processing to maintain high standards of accuracy.3....
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Senior Claims Analyst
4 days ago
Rancho Cordova, California, United States Dignity Health Full timePosition Overview:The Senior Claims Examiner plays a crucial role in ensuring the integrity of claims processing within the organization. This position is responsible for the following key functions:Quality Assurance: Conduct thorough quality reviews of daily claims processed by Claims Examiners to ensure compliance with company standards.Data Management:...
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Senior Claims Analyst
4 days ago
Rancho Cordova, California, United States Dignity Health Full timePosition Overview:The Senior Claims Examiner plays a crucial role in ensuring the integrity and accuracy of claims processing within the organization.Key Responsibilities:1. Conduct thorough Quality Reviews of daily claims processed by Claims Examiners.2. Oversee Data Entry tasks related to claims processing to maintain high standards of accuracy.3. Evaluate...
Senior Claims Specialist
2 months ago
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 achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives claim, confirms policy coverage and acknowledgement of the claim
Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
Establishes reserves and authorizes payments within reserving authority limits
Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
Coordinates early return-to-work efforts with the appropriate parties.
Manages subrogation and litigation of claim as it applies
Manages potential claim recoveries of all types
Reports claims to the excess carrier when applicable
Communicates claim status with the customer and claimant
Adheres to client and carrier guidelines and participates in claims review as needed
Develops and maintains professional customer relationships
Complies with rules and regulations of applicable state
Additional projects and duties as assigned.
KNOWLEDGE & SKILLS:
Excellent written and verbal communication skills.
Ability to assist team members 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 work both independently and within a team environment
Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers Compensation.
EDUCATION/EXPERIENCE:
Bachelor's degree or a combination of education and related experience.
Minimum of 3 years industry experience and claim handling
Self-Insured Certificate 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.
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.
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