Workers' Compensation Claims Specialist

5 days ago


Downers Grove, Illinois, United States CorVel Corporation Full time
Job Summary

The Claims Specialist plays a crucial role in managing lower-level, non-complex workers' compensation claims, as well as more complex lost-time claims. 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, confirming policy coverage and acknowledging receipt
  • Determine the validity and compensability of claims
  • Establish reserves and authorize payments within delegated authority limits
  • Manage non-complex medical only claims and more complex lost-time workers' compensation claims
  • Communicate claim status with customers, claimants, and clients
  • Adhere to client and carrier guidelines, participating in claims review as needed
  • Ensure regular and consistent attendance
  • Comply with all safety rules and regulations during working hours
Requirements
  • Bachelor's degree or equivalent combination of education and experience
  • Minimum 3 years of industry experience, with claims management preferred
  • Excellent written and verbal communication skills
  • Ability to learn rapidly and develop knowledge of claims practice
  • Strong analytical and problem-solving skills
  • Computer proficiency and technical aptitude
  • Strong interpersonal, time management, and organizational skills
Benefits

CorVel offers a comprehensive benefits package, including medical, dental, vision, long-term disability, and 401(k) plans. Our company culture values accountability, commitment, excellence, integrity, and teamwork.

CorVel is an equal opportunity employer and complies with ADA regulations.



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