Medical Claims Specialist

4 weeks ago


Salem, Connecticut, United States CorVel Enterprise Comp, Inc. Full time
Job Title: Medical Only Claims Specialist

Join CorVel Enterprise Comp, Inc. as a Medical Only Claims Specialist and play a vital role in managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims.

Key Responsibilities:
  • Manage claims from receipt to closure, ensuring timely and accurate processing.
  • Determine claim validity and compensability, establishing reserves and authorizing payments within established limits.
  • Communicate claim status with customers, claimants, and clients, providing exceptional customer service.
  • Collaborate with other claims professionals to resolve complex or problematic claims.
  • Stay up-to-date with industry developments, laws, and regulations, applying knowledge to claim handling.
Requirements:
  • Bachelor's degree or equivalent experience in a related field.
  • Minimum 1 year of industry experience, with a focus on claim handling and workers' compensation.
  • Strong analytical and problem-solving skills, with excellent communication and interpersonal abilities.
  • Proficiency in MS Office, including Excel spreadsheets, and ability to learn new systems quickly.
What We Offer:
  • A competitive salary range of $25.69 per hour, based on location, experience, and qualifications.
  • A comprehensive benefits package, including medical, dental, vision, and 401(k) plans.
  • A dynamic and supportive work environment, with opportunities for career growth and development.

CorVel Enterprise Comp, Inc. is an Equal Opportunity Employer, committed to diversity and inclusion. We are a certified Great Place to Work Company, dedicated to providing innovative risk management solutions to our clients.


  • Claims Specialist

    3 weeks ago


    Salem, Connecticut, United States CorVel Enterprise Comp, Inc. Full time

    Job SummaryCorVel Enterprise Comp, Inc. is seeking a skilled Indemnity Claims Specialist to manage within company standards and best practices WC Indemnity claims. The ideal candidate will have the ability to determine benefits due, manage subrogation, and ensure specific customer service requirements to achieve the best possible outcome in the claim.This is...


  • Salem, Connecticut, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionThe Claims Quality Assurance Specialist serves as the technical expert for the Claims Operations by auditing compliance with established CorVel, Industry and Carrier claim handling standards. The primary responsibility will be to evaluate claim handling quality, accuracy and timeliness in categories including but not limited to: Coverage...

  • Claims Manager

    3 weeks ago


    Salem, Connecticut, United States CorVel Enterprise Comp, Inc. Full time

    Job SummaryThe Claims Manager is responsible for overseeing the overall operation of a designated office, ensuring compliance with Workers' Compensation laws and regulatory requirements. This role involves formulating and administering company best practices, developing long-range goals and objectives, and analyzing costs, activities, and operations to...

  • Claims Supervisor

    3 weeks ago


    Salem, Connecticut, United States CorVel Enterprise Comp, Inc. Full time

    Job SummaryCorVel Enterprise Comp, Inc. is seeking a highly skilled Claims Supervisor to join our team. As a Claims Supervisor, you 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 ResponsibilitiesSupervise claims staff...

  • Produce Specialist

    3 weeks ago


    Salem, Connecticut, United States Balls Foods Full time

    Job OverviewBalls Foods is seeking a skilled Produce Specialist to join our team. As a Produce Specialist, you will be responsible for ensuring the freshest produce available for our customers.We offer a competitive compensation package, including weekly pay, teammate discount, referral bonus program, flexible hours, paid vacations, holiday pay,...


  • Salem, Connecticut, United States Propio Language Services Full time

    We are seeking a highly skilled Ukrainian language specialist to join our team of contract interpreters at Propio Language Services. Our company is dedicated to closing the language gap by connecting people anywhere and anytime through innovative technology and solutions.As a Ukrainian language specialist, you will play a critical role in providing...


  • Salem, Connecticut, United States Elevance Health Full time

    Nurse Appeals SpecialistWe are seeking a skilled Nurse Appeals Specialist to join our team at Elevance Health. As a key member of our appeals team, you will be responsible for investigating and processing medical necessity appeals requests from members and providers.Key Responsibilities:Conduct thorough investigations and reviews of member and provider...


  • Salem, Connecticut, United States New York Life Full time

    About New York LifeNew York Life is a Fortune 100 company with a rich history of delivering exceptional value to our clients. With over 175 years of experience, we've helped generations of Americans protect their families and achieve their financial goals. As a mutual company, we're accountable only to our policyholders, not to Wall Street or outside...


  • Salem, Connecticut, United States Elevance Health Full time

    Housing Outreach SpecialistWe are seeking a highly skilled Housing Outreach Specialist to join our team at Elevance Health. As a key member of our housing team, you will be responsible for developing and implementing our health plan's housing strategy and programs.Key Responsibilities:Liaise between housing agencies and our health plan to develop and access...

  • Sales Representative

    4 weeks ago


    Salem, Connecticut, United States AmeriPro Roofing Full time

    Job OpportunityAmeriPro Roofing, a leading residential roofing contractor, is seeking an experienced Exterior Sales Representative to join our team in the Kansas City metro area.As an Exterior Sales Representative, you will educate and inform homeowners on their entitlements related to storm damage, roofing, siding, and gutter projects. You will protect...


  • Salem, Connecticut, United States LifeStance Health Full time

    We are seeking a Psychiatrist to be part of our clinical team in Overland Park, KS.We offer Psychiatrists:Unlimited earning potential, with opportunities to exceed $300,000-$400,000Competitive benefits package, including medical, dental, vision, 401(k) with match, paid parental leave, and 3 weeks' vacationPart-time and full-time schedule optionsStrong...


  • Salem, Connecticut, United States Nextworld LLC Full time

    Job SummaryNextworld LLC is seeking a detail-oriented and proactive Revenue Operations Analyst to support our revenue operations team. This role will be crucial in managing our sales and marketing systems, assisting in forecasting and reporting, and providing support to internal sales and marketing teams.Key Responsibilities:Administer and manage user...


  • Salem, Connecticut, United States RPh on the Go Full time

    Job OpportunityWe are seeking a dedicated and experienced Pharmacist to join our team in providing high-quality pharmaceutical care to our long-term care residents.Key Responsibilities:Verify medication orders to ensure accuracy and safety.Collaborate with healthcare providers to optimize patient medication regimens.Ensure compliance with regulations and...


  • Salem, Oregon, United States SALEM REGIONAL MEDICAL CENTER Full time

    Job Title: Physician BillerSALEM REGIONAL MEDICAL CENTER is seeking a highly skilled and detail-oriented Physician Biller to join our team.Job Summary:The Physician Biller will be responsible for handling all aspects of billing for medical claims, ensuring timely processing and adjudication of claims. The ideal candidate will have a strong understanding of...


  • Salem, Oregon, United States SALEM REGIONAL MEDICAL CENTER Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Salem Regional Medical Center. The successful candidate will be responsible for handling all aspects of billing for medical claims, ensuring timely processing and adjudication of claims. The ideal candidate will have a strong understanding of insurance carriers'...


  • Winston-Salem, North Carolina, United States State Farm Full time

    OverviewState Farm is seeking a skilled Property Field Inspection Claim Specialist to handle accidental and weather-related claims for homeowners, commercial properties, and large losses. As a key member of our dynamic team, you will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims...


  • Winston-Salem, North Carolina, United States State Farm Full time

    Job Title: Property Field Inspection Claims SpecialistState Farm is seeking a highly skilled Property Field Inspection Claims Specialist to join our team. As a key member of our claims handling process, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and commercial claims.Key...


  • Winston-Salem, North Carolina, United States State Farm Full time

    Property Field Inspection Claim SpecialistState Farm is seeking a highly skilled Property Field Inspection Claim Specialist to join our dynamic team. As a key member of our claims handling process, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and commercial claims.Key...


  • Salem, United States CCMSI Full time

    Overview:Submit your CV and any additional required information after you have read this description by clicking on the application button.At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service...


  • Salem, United States CCMSI Full time

    Overview:At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...


  • Salem, Oregon, United States CCMSI Full time

    As a leading Third Party Administrator in self-insurance services, CCMSI is dedicated to delivering exceptional service to our clients.We are seeking an experienced Workers' Compensation Claims Supervisor to lead our team handling claims exclusively for a dedicated national retail client in Salem, OR.In this role, you will oversee the investigation,...


  • Salem, Oregon, United States CCMSI Full time

    OverviewAt CCMSI, we strive to deliver exceptional service to our clients by fostering a culture of excellence, integrity, and passion. As a leading Third Party Administrator in self-insurance services, we are committed to developing our staff through structured career development programs, recognizing individual and team efforts, and maintaining a Great...


  • Winston-Salem, North Carolina, United States Novant Health Full time

    Job SummaryWe are seeking a skilled Medical Billing Specialist to join our team at Novant Health. As a key member of our Patient Financial Services department, you will be responsible for managing all billing activities for our regions. Your expertise in resolving billing problems and collaborating with other departments will be invaluable in ensuring...


  • Salem, OR, United States CCMSI Full time

    Overview:Submit your CV and any additional required information after you have read this description by clicking on the application button.At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service...


  • Salem, Massachusetts, United States OneStaff Medical Full time

    Job Opportunity for a Medical Travel Specialist in TelemetryOneStaff Medical, a leading healthcare staffing agency, is seeking a highly skilled Medical Travel Specialist with experience in telemetry nursing to join our team. This exciting opportunity allows the selected candidate to work as a travel nurse RN in Salem, Massachusetts.Job Description:Specialty:...


  • Salem, Oregon, United States Nitelines USA, Inc Full time

    Job Title: Medical Physician SpecialistJob Summary:We are seeking a highly skilled Medical Physician Specialist to join our team at Nitelines USA, Inc. The ideal candidate will have a strong background in general medical care, with the ability to provide comprehensive medical services to patients.Key Responsibilities:Provide general medical care, including...


  • Salem, Oregon, United States OneStaff Medical Full time

    OneStaff Medical is a leading provider of travel nursing services, offering a unique opportunity for talented medical professionals to take their careers to the next level. As a Medical Travel Specialist for Telemetry RN, you will be responsible for providing high-quality patient care in a fast-paced hospital setting. About OneStaff MedicalWe are a company...

  • Cardiology Specialist

    3 weeks ago


    Salem, Oregon, United States Global Medical Staffing Full time

    Cardiology Physician Job in OregonGlobal Medical Staffing is seeking a Board Certified or Board Eligible Medical Doctor with or without US residency and a current US work visa to join our team as a Cardiology physician in Oregon.Key Responsibilities:Provide high-quality patient care as a Cardiology physician in OregonCollaborate with our team to ensure...


  • Salem, Oregon, United States Veterans Affairs, Veterans Health Administration Full time

    Job SummaryThis position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Mid-Atlantic Health Care Network VISN 6, Salem VA Medical Center in Quality Management Service.The Risk Manager is directly responsible to the Chief, Quality Management. The Risk Manager provides direct staff support to all Service/Service...


  • Salem, Oregon, United States Healthcare Staffing Plus Full time

    Job SummaryWe are seeking a skilled Medical Laboratory Specialist to join our team at Healthcare Staffing Plus. As a Medical Laboratory Specialist, you will be responsible for performing various laboratory tests and procedures to help diagnose and treat patients.Key ResponsibilitiesFollow laboratory procedures for specimen handling and processing, test...


  • Salem, Massachusetts, United States Cross Country Nurses Full time

    Job Title: Medical Unit SpecialistJob Summary:Cross Country Nurses is seeking a skilled Medical Unit Specialist to join their team. As a Medical Unit Specialist, you will be responsible for providing high-quality patient care in a labor and delivery setting. This includes coaching women throughout the birthing process, monitoring the mother's and baby's...


  • Salem, Oregon, United States Eutis Staffing Inc Full time

    Key Responsibilities:As a Medical Physician with Eutis Staffing Inc, you will provide general medical care to patients, including reviewing admission and medical history, conducting physical examinations, and maintaining chronic health issues. You will also read and interpret diagnostic tests and reports, provide referrals to medical specialists, and write...


  • Salem, United States Northwest Human Services, Inc. Full time

    Job SummaryNorthwest Human Services, Inc. is seeking a highly organized and detail-oriented Medical Records Specialist to join our team. As a Medical Records Specialist, you will be responsible for maintaining accurate and up-to-date patient medical records in our Electronic Health Records System.Key Responsibilities:Timely completion of patient medical...