Medical Claims Specialist

4 weeks ago


Downers Grove, Illinois, United States CorVel Enterprise Comp, Inc. Full time
Job Summary

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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