Workers' Compensation Claims Specialist

5 days ago


Franklin, Tennessee, United States CorVel Enterprise Comp, Inc. Full time
Job Title: Workers' Compensation Claims Specialist

CorVel Enterprise Comp, Inc. is seeking a skilled Workers' Compensation Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing workers' compensation claims within delegated authority to achieve the best possible outcome.

Key Responsibilities:
  • Receive and process claims, confirming policy coverage and acknowledging receipt.
  • Determine the validity and compensability of claims.
  • Establish reserves and authorize payments within reserving authority limits.
  • 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.
  • Adhere to client and carrier guidelines and participate in claims review as needed.
  • Assist other claims professionals with more complex or problematic claims as necessary.
Requirements:
  • Bachelor's degree or equivalent experience.
  • Minimum 1 year of industry experience and claims management preferred.
  • Knowledge of handling TN, GA, and AL claims a plus, along with appropriate WC adjuster licenses.
What We Offer:
  • A comprehensive benefits package, including medical, dental, vision, and 401(k) matching.
  • A stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.
  • A market-based approach to pay, with salary ranges established based on factors such as job-related skills, experience, qualifications, internal employee equity, and market conditions.

CorVel Enterprise Comp, Inc. is an Equal Opportunity Employer and complies with ADA regulations as applicable. #LI-Remote



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