Medical Claims Specialist
4 weeks ago
CorVel Enterprise Comp, Inc. is seeking a skilled Medical Claims Specialist to manage non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision.
Key Responsibilities:
- Confirm policy coverage and acknowledge claims
- Determine claim validity and compensability
- Establish reserves and authorize payments within established limits
- Communicate claim status with customers, claimants, and clients
- Adhere to client and carrier guidelines and participate in claims review as needed
- Assist other claims professionals with complex or problematic claims
Requirements:
- Bachelor's degree or equivalent experience
- Minimum 1 year industry experience and claim handling
- WC experience required
- Licensed as required
What We Offer:
CorVel Enterprise Comp, Inc. offers a comprehensive benefits package, including medical, dental, vision, and 401(k) plans. We are an equal opportunity employer and comply with ADA regulations.
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