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Non-Complex Claims Expert

2 months ago

Folsom, United States CorVel Corporation Full time

Position Overview: The Claims Management Specialist is responsible for overseeing lower-level, uncomplicated indemnity claims within a designated limited authority, under the guidance of a senior claims professional. This remote role entails receiving claims, verifying policy coverage, assessing claim legitimacy, and managing straightforward claims.

Key Responsibilities:

  • Receive and evaluate claims submissions
  • Verify the validity of claims
  • Establish reserves and authorize necessary payments
  • Oversee non-complex claims with supervision
  • Communicate updates regarding claim status
  • Adhere to established guidelines and protocols
  • Provide assistance with more intricate claims as needed
  • Engage in additional projects as assigned

Required Skills:

  • Strong communication abilities
  • Effective problem-solving skills
  • Proficiency in computer applications
  • Interpersonal and organizational capabilities
  • Ability to work autonomously as well as collaboratively

Education & Experience:

  • Bachelor's degree or equivalent professional experience
  • Preferred: 1 year of relevant industry experience
  • State Certification as an Experienced Examiner

CorVel Corporation, a national leader in risk management solutions, provides a competitive pay range for this role. A comprehensive benefits package and opportunities for career advancement are available. CorVel is committed to being an Equal Opportunity Employer.