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Workers' Comp Claims Specialist

Employer
CorVel Corporation
Location
Metairie, Louisiana
Salary
Not Specified
Closing date
Apr 18, 2019

View more

Category
Claims, Workers' Compensation
Job Type
Full Time
Career Level
Not Specified

Job Details

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

* Receives claim, confirms policy coverage and acknowledgement of the claim

* Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies

* Establishes reserves and authorizes payments within reserving authority limits

* Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim

* Coordinates early return-to-work efforts with the appropriate parties.

* Manages subrogation and litigation of claim as it applies

* Manages potential claim recoveries of all types

* Reports claims to the excess carrier when applicable

* Communicates claim status with the customer and claimant

* Adheres to client and carrier guidelines and participates in claims review as needed

* Develops and maintains professional customer relationships

* Complies with rules and regulations of applicable state

* Additional projects and duties as assigned.

KNOWLEDGE & SKILLS:

* Excellent written and verbal communication skills.

* Ability to assist team members to develop knowledge and understanding of claims practice.

* Ability to identify, analyze and solve problems.

* Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets

* Strong interpersonal, time management and organizational skills.

* Ability to work both independently and within a team environment.

* Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers Compensation.

EDUCATION/EXPERIENCE:

* Bachelor's degree or a combination of education and related experience preferred.

* Minimum of 3 years industry experience and claim handling

* State Adjuster Licensure Required

CorVel Corporation is an Equal Opportunity Employer. In order to provide equal employment and advancement opportunities to all individuals, employment decisions at CorVel will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law.

Note to Employment Agencies: Please do not forward agency resumes. CorVel Corporation is not responsible for any fees related to unsolicited resumes.

Please be aware that CorVel generally does not review all applications/resumes submitted in response to job openings posted on the Internet because of the large volume of responses

Company

CorVel is looking for passionate, motivated individuals to join our team of associates and help us be successful by making a positive impact within our organization and for our clients. If you are interested in joining CorVel, review our available opportunities and submit your resume as indicated by the application instructions.

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