Claims Management Specialist
7 days ago
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 SpecialistThe 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.
SalaryThe estimated salary range for this role is $85,000 - $137,000 per year, depending on location and qualifications.
Job DescriptionWe 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- Supervise claims staff in their day-to-day operations
- Support Claims Manager in staff recruitment, interviews, and training of new staff on procedures and job-related functions
- Ensure staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements
- 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
- Provide technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues, and service account instructions
- Function as liaison, suggesting and implementing final resolution for clients and employees regarding claim-specific, procedural, or special requests
- Adhere to HIPPA regulations, policies, and procedures
- Requires regular and consistent attendance
- Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
- Adheres to all company policies, best practices, and procedures
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
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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