-
Senior Claims Specialist
3 weeks ago
CorVel Corporation Downers Grove, United States OTHERThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation a ...
-
Senior Claims Specialist
2 weeks ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job DescriptionCorVel is hiring a remote Senior Claims Specialist. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determ ...
-
Senior Claims Specialist
2 weeks ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job DescriptionThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers an ...
-
Workers' Compensation Claims Specialist
3 weeks ago
CorVel Corporation Downers Grove, United States OTHERCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated ...
-
Complex Claims Specialist
2 weeks ago
CNA Lisle, United States Full timeJOB DESCRIPTION · : Essential Duties & Responsibilities: · Performs a combination of duties in accordance with departmental guidelines: · Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, ...
-
Workers' Compensation Claims Specialist
8 hours ago
CorVel Downers Grove, United StatesCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated ...
-
Workers' Compensation Claims Specialist
2 weeks ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job DescriptionCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company ...
-
Senior Claims Specialist
1 week ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job Description · The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case manage ...
-
Senior Claims Specialist
2 days ago
CorVel Corporation Downers Grove, United States OTHERCorVel is hiring a remote Senior Claims Specialist. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely wi ...
-
Workers Compensation Claims Specialist
3 weeks ago
CNA Lisle, United StatesYou have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest pot ...
-
Worker's Compensation Claims Specialist
3 weeks ago
Insight Global Downers Grove, United StatesInsight Global is looking for a Claims Specialist to join a third party workers compensation organization headquartered in Chicago, IL. The Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims ...
-
Claim Readiness Specialist
8 hours ago
UroPartners LLC. Westchester, United StatesJob Type · Full-time · Description · The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently, and ...
-
Workers' Compensation Claims Specialist
1 week ago
CorVel Downers Grove, United StatesCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated ...
-
Workers' Compensation Claims Specialist
4 weeks ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job Description · CorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within com ...
-
Claim Readiness Specialist
2 weeks ago
UROPARTNERS LLC Westchester, United StatesJob Description · Job DescriptionDescription:The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently ...
-
Claims Specialist
1 day ago
Liberty Mutual Insurance Hoffman Estates, United StatesSchedule: Full-Time Salary Range: USD $ $ Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects th ...
-
Claims Specialist
1 week ago
SkinCure Oncology Burr Ridge, United StatesLarge Growth - multiple positions needed · $1,000 sign-on bonus at 6 months · SkinCure Oncology is the national leader in the delivery of superficial radiation therapy services. We are currently recruiting for a full time Claims Integrity Specialist to join our team. SkinCure's C ...
-
Claims Specialist
2 weeks ago
TEKsystems Lincolnshire, United States*Looking for:* · Recently Completed Bachelors Degree from past few years · 0-3 years of work experience · Basic computer skills · Excellent phone etiquette and organizational skills. · Customer Service Skills · *Nice Haves:* · Bachelors Degree within Liberal Science are gr ...
-
Claims Specialist
3 weeks ago
TEKsystems Lincolnshire, United StatesJob Description · Job DescriptionLooking for: · Recently Completed Bachelors Degree from past few years · 0-3 years of work experience · Basic computer skills · Excellent phone etiquette and organizational skills. · Customer Service Skills · Nice Haves: · Bachelors Degree within ...
-
Claims Specialist
3 weeks ago
TEKsystems Lincolnshire, IL, United StatesLooking for: · Recently Completed Bachelors Degree from past few years · 0-3 years of work experience · Basic computer skills · - Excellent phone etiquette and organizational skills. · Customer Service Skills · Nice Haves: · Bachelors Degree within Liberal Science are great (Psy ...
Senior Claims Specialist - Downers Grove, United States - CorVel Enterprise Comp, Inc.
Description
Job DescriptionJob Description
CorVel is hiring a remote Senior Claims Specialist.
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives claim, confirms policy coverage and acknowledgement of the claim
Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
Establishes reserves and authorizes payments within reserving authority limits
Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
Coordinates early return-to-work efforts with the appropriate parties.
Manages subrogation and litigation of claim as it applies
Manages potential claim recoveries of all types
Reports claims to the excess carrier when applicable
Communicates claim status with the customer and claimant
Adheres to client and carrier guidelines and participates in claims review as needed
Develops and maintains professional customer relationships
Complies with rules and regulations of applicable state
Additional projects and duties as assigned.
KNOWLEDGE & SKILLS:
Excellent written and verbal communication skills.
Ability to assist team members 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 work both independently and within a team environment
Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.
EDUCATION/EXPERIENCE:
Bachelor's degree or a combination of education and related experience.
Minimum of 3 years' industry experience and claim handling
Self-Insured Certificate preferred
State Certification as an experienced Examiner
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:
$58,282 – $93,870
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
#J-18808-Ljbffr
