CorVel Corporation
CorVel Corporation
CorVel Corporation oferă servicii integrate de gestionare a riscurilor și servicii medicale pentru asigurători și angajatori. Activitatea sa acoperă despăgubirile pentru accidente de muncă, gestionarea răspunderii și a dizabilității, rețele de furnizori și farmacii, precum și soluții alternative de gestionare a riscurilor. Compania combină expertiza în gestionarea daunelor cu tehnologia bazată pe inteligență artificială și analiza datelor pentru a contribui la simplificarea administrării, la îmbunătățirea rezultatelor îngrijirii medicale și ale daunelor și la gestionarea costurilor.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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