Medical Only Claims Specialist
CorVel Corporation
full-time
Posted on:
Location Type: Remote
Location: New York • United States
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Salary
💰 $17 - $27 per hour
Job Level
About the role
- Manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision
- Receives claims, confirms policy coverage and acknowledgment of the claim
- Determines the validity and compensability of the claim
- Establishes reserves and authorizes payments within established reserving authority limits
- 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
Requirements
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year industry experience and claim handling WC experience required
- Licensed as required jurisdictionally
Benefits
- 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
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
communicationsupervisionproblem-solving
Certifications
license