Medical Only Claims Specialist
RemotePosted 2 months ago Expired
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Upload Your ResumeAbout This Role
Manage non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of CorVel's claims department.
Responsibilities
- Receive claims, confirm policy coverage and acknowledgement of the claim
- Determine the validity and compensability of the claim
- Establish reserves and authorize payments within established reserving authority limits
- Communicate claim status with the customer, claimant and client
- Adhere to client and carrier guidelines and participate in claims review as needed
- Assist other claims professionals with more complex or problematic claims as necessary
Requirements
- Minimum of 1 year industry experience and claim handling
- WC experience required
- Licensed as required jurisdictionally
Qualifications
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year industry experience and claim handling
Skills
* Required skills
Benefits
About CorVel Corporation
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.