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Claims Specialist

Remote, United States remote Entry $52,999 - $85,473
remote Technology & IT Salary listed Curated
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About the role

The Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim

Determines validity and compensability of the claim

Establishes reserves and authorizes payments within reserving authority limits

Manages non-complex lost-time workers’ compensation claims under close supervision

Communicates claim status with the customer, claimant and client

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

Assists other claims professionals with more complex or problematic claims as necessary

Additional projects and duties as assigned

KNOWLEDGE & SKILLS:

Excellent written and verbal communication skills

Ability to learn rapidly 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 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

EDUCATION & EXPERIENCE:

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

Minimum of 1 year of industry experience and claims management preferred

Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel

Minimum of 2 years Oregon workers’ compensation claims handling experience

PAY RANGE
CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range, and these adjustments would be clarified during the offer process.
Pay Range: $52,999 – $85,473
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
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. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Role
Technology & IT Excel Remote Collaboration Claims Specialist Technology remote

Likely questions

  1. Tell us about work you have done that is close to the Claims Specialist role.
  2. How would you approach your first 30 days at name?
  3. Which of Excel, Remote Collaboration and Claims have you used recently, and what did it help you achieve?
  4. Describe a time you solved a problem without waiting to be told exactly what to do.
  5. How do you stay organised and communicate clearly when working remotely?

Prepare before the call

  • A recent example that proves your experience with Excel, Remote Collaboration and Claims.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Claims Specialist role because I can bring practical experience in Excel, Remote Collaboration and Claims, learn the team quickly, and contribute to the outcomes name needs from this hire.

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