CorVel Corporation · 8 hours ago
CA Senior Claims Specialist WC
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Responsibilities
Receives claim, confirms policy coverage and acknowledgement 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 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.
Qualification
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Required
Bachelor's degree or a combination of education and related experience.
Minimum of 3 years’ industry experience and claim handling.
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.
Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation.
Preferred
Self-Insured Certificate preferred.
State Certification as an experienced Examiner.
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
CorVel Corporation
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.
Funding
Current Stage
Public CompanyTotal Funding
unknown1991-07-05IPO
Recent News
Seeking Alpha
2024-12-17
MarketScreener
2024-11-29
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