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CorVel Corporation сақтандыру төлеушілері мен жұмыс берушілерге тәуекелдерді басқару және денсаулық сақтау қызметтерін кешенді түрде ұсынады. Компанияның қызметі еңбек жарақаты бойынша өтемақыны, жауапкершілік пен еңбекке жарамсыздықты басқаруды, медициналық қызмет көрсетушілер мен дәріхана желілерін, сондай-ақ тәуекелдерді басқарудың балама шешімдерін қамтиды. Компания әкімшілік процестерді оңтайландыруға, медициналық көмек пен талаптарды қарау нәтижелерін жақсартуға және шығындарды басқаруға көмектесу үшін талаптарды реттеу саласындағы тәжірибесін жасанды интеллектке негізделген технологиялармен және деректерді талдаумен ұштастырады.
Workers' Compensation Claims Specialist (California Remote)
Manage non-complex workers’ compensation claims remotely from California for CorVel Corporation, a national risk-management provider. Review coverage, compensability, reserves, payments, and claim status under the guidance of senior claims professionals.
Сипаттама
- Handle lower-level, non-complex, non-problematic workers’ compensation claims within delegated authority limits
- Manage assigned claims under the direct supervision of a senior claims professional
- Receive workers’ compensation claims and verify coverage and claim acknowledgment
- Assess claim validity and compensability
- Set reserves and approve payments within authorized limits
- Manage non-complex lost-time workers’ compensation claims with close oversight
- Provide claim-status updates to customers, claimants, and clients
- Follow client and carrier requirements
- Take part in claims reviews when needed
- Support claims professionals handling more complex or problematic claims
- Follow workplace safety rules and regulations
- Complete other assigned projects and duties
Талаптар
- Bachelor’s degree, or an equivalent combination of education and related experience
- At least one year of industry experience and preferably claims-management experience
- Maintain a current Workers’ Compensation license or certification throughout employment with CorVel
- Demonstrated strength in written and verbal communication
- Capacity to learn quickly and build knowledge of claims practices
- Ability to recognize, analyze, and resolve problems
- Computer proficiency and technical aptitude
- Ability to use Microsoft Office, including Excel spreadsheets
- Strong interpersonal, time-management, and organizational abilities
- Ability to meet or surpass performance competencies
- Ability to work effectively both independently and as part of a team
- Spanish proficiency is preferred
Артықшылықтар
- Medical coverage through a high-deductible health plan with pharmacy benefits
- 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 Flexible Spending Account options
- 401(k) plan
- Roth 401(k) plan
- Paid time off
- Career advancement opportunities
- Remote work
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