Note: The job is a remote job and is open to candidates in USA. CorVel Corporation is a national provider of industry-leading risk management solutions for various sectors, including workers’ compensation. They are seeking a WC Disability Claims Specialist I to manage workers’ compensation claims, ensuring timely payments and pursuing settlement opportunities while adhering to company best practices.
Responsibilities
- Receives claims, confirms policy coverage and acknowledgement of the claim
- Reviews for validity and compensability of the claim
- Reviews and revises reserve and authorizes payments within reserving authority limits
- Ensures timely and accurate payment of WC claim benefits, including indemnity and medical
- Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits
- Manages workers’ compensation claims toward closure (targeted case load is 250–300 files)
- Develops strategies and pursues settlement and/or claim closures, whenever possible
- Communicates claim status with the customer, claimant and client
- Adheres to client and carrier guidelines and participates in claim reviews, as needed
- Additional duties as assigned
Skills
- Bachelor's degree or a combination of education and related experience
- State Certification as an Experienced Examiner
- Minimum of 1 year of industry experience and claims management preferred
- Excellent written and verbal communication skills
- Ability to learn rapidly to develop knowledge and understanding of claims practice
- Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making
- Computer proficiency and technical aptitude with the ability to utilize 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
- Preference for previous experience in WC disability benefit management
Benefits
- Medical (HDHP) w/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
- 401K
- ROTH 401K
- Paid time off
Company Overview
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. It was founded in 1987, and is headquartered in Irvine, California, USA, with a workforce of 1001-5000 employees. Its website is https://www.corvel.com/.