- Receives claims, confirms policy coverage and acknowledgment of the claim
- Determines validity and compensability of the claim
- Establishes reserves and authorizes payments within reserving authority limits
- Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision
- 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
- Requires regular and consistent attendance
- Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP")
- Additional projects and duties as assigned
- Excellent written and verbal communication skills
- Ability to learn rapidly to develop knowledge and understanding of claims practice
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
- Strong interpersonal, time management and organizational skills
- Ability to meet or exceed performance competencies
- Ability to work both independently and within a team environment
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year of industry experience and claims management preferred
- State Certification as an Experienced Examiner
-
Claims Specialist
2 weeks ago
NJ TRANSIT Newark, United States: Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from all relevant parties, regarding claims and legal actions filed against NJ TRANSIT. · Assists defense counsel in all facets of trial preparation ...
-
Claims Specialist
1 week ago
SourcePro Search New York, United StatesSourceProSearch is seeking a Claims Specialist with 1-2 years of experience to work in our New York office. The ideal candidate should be comfortable with technology and platforms. This position requires at least 2 days per week in the office. · Job Responsibilities: · Format doc ...
-
Claims Specialist
2 days ago
AXIS Capital Holdings Limited New York, United StatesThis is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders Claims Specialist, Claims, Spec ...
-
Apprentice Claims Specialist
3 weeks ago
CorVel Corporation New York, United States OTHERCorVel is hiring a Claims Specialist for our Client Site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the d ...
-
Senior Claims Specialist
2 days ago
AXA Group New York, United States STANDARDSenior Claims Specialist - Construction Professional Liability · New York, New York / USA · Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? ...
-
No Fault Claims Specialist
3 weeks ago
CorVel Corporation New York, United States OTHERCorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, unde ...
-
claims review specialist
4 weeks ago
City of New York New York, United States Full timeYOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. · ...
-
Field Claims Specialist
4 weeks ago
Great American Insurance Group New Jersey, United States Full timeBe Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expe ...
-
Associate Claims Specialist
9 hours ago
AXA XL Ltd New York, United StatesAssociate Claims Specialist (Intake Coordinator) - Excess · Casualty · New York, NY | USA · Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. · As a New York City-based Assoc ...
-
Claims Specialist III
2 days ago
Nationwide New York, United StatesIf you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you At Nationwide, "on your side" go ...
-
Claims Concierge Specialist
1 day ago
Elite Home Warranty New York, United StatesJob Description · Job DescriptionElite Home Warranty, a leading provider of home warranties, is looking for a Claims Concierge Specialist to join our team. As a Claims Concierge Specialist, you will play a key role in helping our customers with their home repair needs, including ...
-
Claims Adjustment Specialist I
2 weeks ago
MetroPlusHealth New York City, United StatesEmpower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what y ...
-
Claims Specialist
3 weeks ago
LHH New York, United StatesLHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. · Hours: 9:30am - 5:30pm, overtime when necessary · Responsibilities · Format documents and communications for clients; review d ...
-
Claim Specialist, Level II
4 weeks ago
City of New York New York, United States Full timeOpen only to current City of New York employees serving in a permanent (not provisional) civil service title of Claim Specialist. · The New York City Comptroller's Office works to promote the financial health, integrity, and effectiveness of New York City government, in order to ...
-
Claim Specialist
4 weeks ago
City of New York New York, United StatesJob Description · The NYC Department of Environmental Protection (DEP) protects public health and the environment by supplying clean drinking water, collecting and treating wastewater, and reducing air, noise, and hazardous materials pollution. DEP is the largest combined munici ...
-
Claims Specialist
1 week ago
SourcePro Search New York, United StatesSourceProSearch is seeking a Claims Specialist with 1-2 years of experience to work in our New York office. The ideal candidate should be comfortable with technology and platforms. This position requires at least 2 days per week in the office. · Job Responsibilities: · Format doc ...
-
Medical Claims Specialist
1 day ago
Vanguard Temporaries, Inc. San Francisco, United States PermanentJob Purpose: · Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. · Duties: · Determines covered medical insurance losses by studying ...
-
Claims Specialist
1 day ago
Expedite Technology Solutions New York, United StatesAdjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. · - Resolve complex, severe exposure claims, using high service oriented file handling. · - Pay and process claims within designated authority level. · - E ...
-
Claims Specialist
4 weeks ago
AXIS New York City, United States OTHERThis is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an ...
-
Content Claims Specialist
3 weeks ago
Crawford & Company Long Island City, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · + Acting/operating as a third party, intermediary b ...
Claims Specialist - New York, United States - CorVel Corporation
Description
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
EDUCATION & EXPERIENCE:
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $50,593 – $81,593
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
About CorVel
CorVel, 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 publicly 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.
#LI-Remote
Claims Specialist professionals in New York City
-
Marcia Wilson
Image consultant
-
Eric Pitty
Trust and Safety Professional