Hiring: Remote Medical Only Claims Specialist (Work from Home Jobs)
Job Responsibilities : Hiring: Remote Medical Only Claims Specialist (Work from Home Jobs)
Salary : Competitive Salary
Company : CorVel Corporation
Job Details
Description
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and
minor lost-time workers’ compensation 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
Assists other claims professionals with more complex or problematic claims as necessary
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 and claim handling
Licensed as required jurisdictionally
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.
