Claims Management Specialist

7 days ago


Greenwood Village, Colorado, United States CorVel Corporation Full time
About CorVel Corporation

CorVel Corporation is a leading provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries.

Job Title: Claims Management Specialist

The Claims Management Specialist position is integral to our company's success. We are seeking an experienced and skilled professional to join our team as a Claims Management Specialist.

Salary

The estimated salary range for this role is $85,000 - $137,000 per year, depending on location and qualifications.

Job Description

We are looking for a highly motivated and detail-oriented Claims Management Specialist to join our team. The successful candidate will be responsible for supervising a team of direct reports, ensuring all quality, productivity, and customer service criteria are met while adhering to company policies and procedures.

Key Responsibilities
  1. Supervise claims staff in their day-to-day operations
  2. Support Claims Manager in staff recruitment, interviews, and training of new staff on procedures and job-related functions
  3. Ensure staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements
  4. Assure peak performance of the team through continued training and coaching, coupled with regular performance evaluations and recommends merit activity, subject to manager's approval
  5. Provide technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues, and service account instructions
  6. Function as liaison, suggesting and implementing final resolution for clients and employees regarding claim-specific, procedural, or special requests
  7. Adhere to HIPPA regulations, policies, and procedures
  8. Requires regular and consistent attendance
  9. Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  10. Adheres to all company policies, best practices, and procedures
Requirements

To be considered for this role, you must possess:

  • Bachelor's degree or a combination of education and related experience
  • Demonstrated Public Speaking Skills
  • Minimum of 5 years' experience handling claims
  • Knowledge of WC required
  • Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel
  • Self-Insured Certificate preferred
  • State Certification as an experienced Examiner
Benefits

We offer a comprehensive benefits package, including Medical, 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.


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