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Claims Management Specialist

2 months ago


Downers Grove, Illinois, United States CorVel Enterprise Comp, Inc. Full time
Claims Management Specialist

The Claims Management Specialist plays a vital role in overseeing straightforward, non-complex Medical Only workers' compensation claims, alongside more intricate Lost Time claims. This position entails verifying policy coverage, assessing claim legitimacy, setting reserves, approving payments, and updating all relevant parties on claim progress.

Key Responsibilities:

  • Receive and evaluate claims submissions
  • Assess claim legitimacy and compensability
  • Handle uncomplicated medical claims and more complex lost-time claims
  • Engage effectively with all stakeholders
  • Comply with client and carrier protocols
  • Perform additional tasks as required

Qualifications:

  • Bachelor's degree or equivalent professional experience
  • A minimum of 3 years of experience in claims management
  • Exceptional communication skills
  • Strong analytical and problem-solving skills
  • Proficient in computer applications
  • Ability to work autonomously as well as collaboratively

Compensation Range:

$50,593 - $81,593

About CorVel:

CorVel Enterprise Comp, Inc. is a leading provider of risk management solutions across various sectors, specializing in workers' compensation and disability management. With a commitment to innovation and integrated services, CorVel fosters a supportive work environment and offers numerous opportunities for professional growth.

Employee Benefits:

A comprehensive benefits package is available for full-time employees, which includes medical, dental, vision, disability, life insurance, 401K, and paid time off.