CorVel Corporation delivers integrated risk management and healthcare services for payors and employers. Its work spans workers’ compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions. The company combines claims expertise with AI-enabled technology and data analytics to help streamline administration, support better care and claims outcomes, and manage costs.
Junior Workers’ Compensation Claims Specialist – California Remote
Manage non-complex California workers’ compensation claims for CorVel, a national risk management provider. Review coverage, compensability, reserves, payments, and claim status.
Description
- Receive workers’ compensation claims, verify policy coverage, and acknowledge receipt
- Assess claim validity and compensability
- Set reserves and authorize payments within assigned limits
- Manage non-complex lost-time claims under close supervision
- Update customers, claimants, and clients on claim status
- Follow client and carrier guidelines
- Take part in claims reviews as needed
- Support colleagues handling complex or problematic claims
- Follow workplace safety rules and regulations
- Handle other projects and duties as assigned
Requirements
- Bachelor’s degree or an equivalent combination of education and related experience
- At least one year of industry experience
- SIP experience
- Maintain a current workers’ compensation license or certification throughout employment with CorVel
- Spanish bilingual skills preferred
- Experience with 4850 and Ed-Code preferred
- Strong written and spoken communication skills
- Ability to learn quickly and build knowledge of claims practices
- Ability to identify, analyze, and resolve problems
- Computer skills and technical aptitude, including Microsoft Office and Excel spreadsheets
- Strong interpersonal, time-management, and organizational skills
- Ability to meet or exceed performance expectations
- Ability to work independently and as part of a team
- Must live in California
Benefits
- Medical coverage (HDHP) with pharmacy
- Dental insurance
- Vision insurance
- Long-term disability coverage
- Health Savings Account
- Flexible Spending Account options
- Life insurance
- Accident insurance
- Critical illness insurance
- Prepaid legal insurance
- Parking and transit FSA accounts
- 401(k)
- Roth 401(k)
- Paid time off
- Remote work arrangement
- Career advancement opportunities
- Supportive company culture