Claims Specialist
: Job Details :

Job Location:CT - Hartford333 E River DrSuite 501East Hartford, CT 06108, USAJob Location:MA - Boston Acton31 Nagog ParkSuite 305Acton, MA 01720, USAThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegatedlimited 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 role.ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Receives claims, confirms policy coverage and acknowledgment of the claimDetermines validity and compensability of the claimEstablishes reserves and authorizes payments within reserving authority limitsManages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervisionCommunicates claim status with the customer, claimant and clientAdheres to client and carrier guidelines and participates in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryRequires regular and consistent attendanceComplies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ( IIPP Â )Additional projects and duties as assignedKNOWLEDGE & SKILLS:Excellent written and verbal communication skillsAbility to learn rapidly to develop knowledge and understanding of claims practiceAbility to identify, analyze and solve problemsComputer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheetsStrong interpersonal, time management and organizational skillsAbility to meet or exceed performance competenciesAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:Bachelor's degree or a combination of education and related experienceMinimum of 1 year of industry experience and claims management preferredState Certification as an Experienced ExaminerExperience in CT and MA requiredAdditional New England jurisdictions a plus (ME, RI, NH and VT)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.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.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.#J-18808-Ljbffr