Claims Specialist
CorVel Corporation, Portland, OR, United States
The Workers’ Compensation Claims Specialist manages lower‑level, non‑complex workers’ compensation claims within delegated authority to achieve the best possible outcome under the direct supervision of a senior claims professional, supporting the goals of the claims department and CorVel. This is a remote position.
Essential Functions & Responsibilities
Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim
Determines validity and compensability of the claim
Establishes reserves and authorizes payments within reserving authority limits
Manages non‑complex lost‑time workers’ compensation claims under close supervision
Communicates claim status with the customer, claimant and client
Adheres to client and carrier guidelines and participates in claims review as needed
Assists other claims professionals with more complex or problematic claims as necessary
Additional projects and duties as assigned
Knowledge & Skills
Excellent written and verbal communication skills
Ability to learn rapidly to develop knowledge and understanding of claims practice
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with Microsoft Office, including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to meet or exceed performance competencies
Ability to work both independently and within a team environment
Education & Experience
Bachelor's degree or a combination of education and related experience
Minimum of 1 year of industry experience and claims management preferred
Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
Pay Range
Pay Range: $52,999 – $85,473
Benefits
Full‑time regular employees receive a comprehensive benefits package including medical (HDHP) with pharmacy, dental, vision, long‑term disability, health savings account, flexible spending account options, life insurance, accident insurance, critical illness insurance, pre‑paid legal insurance, parking and transit FSA accounts, 401(k), ROTH 401(k), and paid time off.
CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable.
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Essential Functions & Responsibilities
Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim
Determines validity and compensability of the claim
Establishes reserves and authorizes payments within reserving authority limits
Manages non‑complex lost‑time workers’ compensation claims under close supervision
Communicates claim status with the customer, claimant and client
Adheres to client and carrier guidelines and participates in claims review as needed
Assists other claims professionals with more complex or problematic claims as necessary
Additional projects and duties as assigned
Knowledge & Skills
Excellent written and verbal communication skills
Ability to learn rapidly to develop knowledge and understanding of claims practice
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with Microsoft Office, including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to meet or exceed performance competencies
Ability to work both independently and within a team environment
Education & Experience
Bachelor's degree or a combination of education and related experience
Minimum of 1 year of industry experience and claims management preferred
Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
Pay Range
Pay Range: $52,999 – $85,473
Benefits
Full‑time regular employees receive a comprehensive benefits package including medical (HDHP) with pharmacy, dental, vision, long‑term disability, health savings account, flexible spending account options, life insurance, accident insurance, critical illness insurance, pre‑paid legal insurance, parking and transit FSA accounts, 401(k), ROTH 401(k), and paid time off.
CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable.
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