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Medical Only Claims Speci

Employer
CorVel Corporation
Location
Sacramento, California
Salary
Not Specified
Closing date
Oct 29, 2019

View more

Category
Claims, Health and Medical
Job Type
Full Time
Career Level
Not Specified

Job Details

JOB SUMMARY:

CorVel in Folsom, CA is seeking a full time Medical Only Claims Specialist. The Medical Only Claims Specialist manages non-complex and non-problematic medical only claims under close supervision, supporting the goals of claims department and of CorVel.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Receives claims, confirms policy coverage and acknowledgement of the claim
  • Determines the validity and compensability of the claim
  • Establishes reserves and authorizes payments within established reserving authority limits
  • Communicates claim status with the customer, claimant and client.
  • Adheres to client and carrier guidelines and participates in claims review as needed.
  • Additional projects and duties as assigned.

KNOWLEDGE & SKILLS:

  • Excellent Customer Service Skills
  • Excellent written and verbal communication skills.
  • Ability to learn rapidly to develop knowledge and understanding of claims practice, relevant statutes and medical terminology.
  • 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.

EDUCATION/EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience.
  • Minimum of 1 year industry experience or claim handling
  • WC experience required
  • Licensed as required jurisdictionally

Application Instructions:

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

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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