Workers' Comp Indemnity Claims Specialist

$50,593 - $81,593/Yr

CorVel - Lawrenceville, GA

Full-time - Entry Level

Remote - Lawrenceville, GA

Insurance Carriers and Related Activities

About the position

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. This is a work from home position, reporting to our Georgia office.

Responsibilities

• 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.

Requirements

• 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.

Nice-to-haves

• Minimum of 1 year of industry experience and claims management preferred.
• Knowledge in handling TN, GA, and AL claims a plus along with appropriate WC adjuster licenses.

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