Corvel
DescriptionJOB
Summary:
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 claimDetermines the validity and compensability of the claimEstablishes reserves and authorizes payments within established reserving authority limitsCommunicates 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 SkillsExcellent 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 spreadsheetsStrong 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 handlingWC experience requiredLicensed as required jurisdictionallyAbout CorVelCorVel, 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 publically 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.
QualificationsSkillsBehaviors:
Motivations:
EducationExperienceLicenses & CertificationsAbout the Company:
CorvelCorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies.
We are publicly traded (NASDAQ:
CRVL) and annual revenues exceeded $493 million in FY2015.
Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace.
CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.
Company Size:
1,500 to 1,999 employeesIndustry:
InsuranceFounded:
1987Website:
http:
//www.
corvel.
com/.
Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
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 claimDetermines the validity and compensability of the claimEstablishes reserves and authorizes payments within established reserving authority limitsCommunicates 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 SkillsExcellent 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 spreadsheetsStrong 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 handlingWC experience requiredLicensed as required jurisdictionallyAbout CorVelCorVel, 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 publically 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.
QualificationsSkillsBehaviors:
Motivations:
EducationExperienceLicenses & CertificationsAbout the Company:
CorvelCorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies.
We are publicly traded (NASDAQ:
CRVL) and annual revenues exceeded $493 million in FY2015.
Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace.
CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.
Company Size:
1,500 to 1,999 employeesIndustry:
InsuranceFounded:
1987Website:
http:
//www.
corvel.
com/.
Estimated Salary: $20 to $28 per hour based on qualifications.
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