CorVel Corporation is a national provider of industry-leading workers compensation solutions for employers, third party administrators, insurance companies, and government agencies. We are a growing company, a great place to work, with plenty of career advancement opportunities.

The Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• • Receives claim, confirms policy coverage and acknowledgment 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 the 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.

Application Instructions:

All candidates must be eligible to work in the United States without VISA sponsorship

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, age, sex, gender, religion, national origin, ancestry, citizenship status, physical or mental disability, military service, veteran status or any other characteristic protected by applicable federal, state or local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this application or to participate in an interview, please let us know.

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

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