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CorVel

Claims Specialist - New England

CorVel, East Hartford, Connecticut, us, 06118

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The Claims 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 role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

Receives 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 and non-problematic medical only claims and minor 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 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

State Certification as an Experienced Examiner

PAY RANGE CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay ranges 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.

Pay Range: $51,807 - $83,551

BENEFITS 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!).

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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