Claims Specialist

2 days ago


Rancho Cucamonga, California, United States CorVel Corporation Full time
Job Title: Claims Specialist

The Claims Specialist plays a vital role in managing workers' compensation claims, ensuring timely and accurate processing, and providing exceptional customer service. This position requires strong analytical and communication skills, with the ability to work independently and as part of a team.

Key Responsibilities:
  • Receive and process claims, verifying policy coverage and claimant information
  • Determine claim validity and compensability, establishing reserves and authorizing payments as needed
  • Manage non-complex and non-problematic medical-only claims and minor lost-time workers' compensation claims under close supervision
  • Communicate claim status with customers, claimants, and clients, providing timely and accurate updates
  • Adhere to client and carrier guidelines, participating in claims review as necessary
  • Assist other claims professionals with more complex or problematic claims as required
Requirements:
  • Bachelor's degree or equivalent experience in a related field
  • Minimum 1 year of industry experience and claims management preferred
  • State Certification as an Experienced Examiner
What We Offer:
  • Competitive hourly rate: $24.32 - $39.23 per hour
  • A comprehensive benefits package, including medical, dental, vision, and 401(k) options
  • Opportunities for career advancement and professional growth

CorVel is an Equal Opportunity Employer, committed to diversity and inclusion. We are a certified Great Place to Work Company, dedicated to providing a supportive and inclusive work environment.


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