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Role Description

The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. Manages the claims toward closure and are looking for settlement opportunities throughout their reviews. This role is available for onsite, remote and hybrid work arrangements.

• Receives claims, confirms policy coverage and acknowledgement of the claim
• Review for validity and compensability of the claim
• Reviews and revises reserve and authorizes payments within reserving authority limits
• Ensures timely and accurate payment of WC claim benefits including indemnity and medical
• Initiates investigations, including alive and well checks, when necessary, to confirm continued payment of benefits
• Manages workers’ compensation claims toward closure (targeted case load is 250 – 300 files)
• Develops strategies and pursues settlement and/or claim closures, whenever possible
• Communicates claim status with the customer, claimant and client
• Adheres to client and carrier guidelines and participates in claim reviews, as needed
• Additional projects and duties as assigned

Qualifications

• State Certification as an Experienced Examiner
• Bachelor’s degree or a combination of education and related experience
• Minimum of 1 year of industry experience and claims management preferred
• Preference for previous experience in WC disability benefit management

Requirements

• Excellent written and verbal communication skills
• Ability to learn rapidly to develop knowledge and understanding of claims practice
• Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making
• 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

Benefits

• 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.

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: $48,143 - $71,852