Claims Resolution Specialist
2 days ago
This is a remote opportunity for a skilled Claims Resolution Specialist to join our team at CorVel Enterprise Comp, Inc.
Salary: $50,593 - $81,593 annually (dependent on location and experience)
About the JobWe are seeking an experienced Claims Resolution Specialist who will be responsible for managing lower-level, non-complex workers' compensation claims within delegated limited authority. The ideal candidate will have excellent communication skills, ability to learn rapidly, and problem-solving skills.
The successful candidate will work closely with senior claims professionals, supporting the goals of the claims department and the company.
Responsibilities- Receives claims, confirms policy coverage, and acknowledges the claim
- Determines validity and compensability of the claim
- Establishes reserves and authorizes payments within reserving authority limits
- Manages non-complex medical only claims and minor lost-time workers' compensation claims under close supervision
- Communicates claim status with the customer, claimant, and client
- Bachelor's degree or equivalent experience in risk management or a related field
- Minimum 1 year of industry experience in claims management preferred
- State Certification as an Experienced Examiner
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