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Claims Specialist

2 months ago

Folsom, United States CorVel Corporation Full time
Job Summary

The Claims Specialist - Risk Management is responsible for managing lower-level, non-complex and non-problematic indemnity claims within delegated limited authority to achieve the best possible outcome. This role supports the goals of the claims department and of CorVel Corporation.

Key Responsibilities
  • Receives and confirms claims, policy coverage, and acknowledgment of the claim.
  • Determines the validity and compensability of the claim.
  • Establishes reserves and authorizes payments within reserving authority limits.
  • Manages non-complex and non-problematic indemnity 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 assigned.
Requirements
  • 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 environment.
Education and 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 Examiner.
Compensation

CorVel Corporation 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 the 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

About CorVel Corporation

CorVel Corporation, 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 Corporation was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enables 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 Corporation is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.