Talent.com
Claims Specialist

Claims Specialist

CorVelRockville, MD, US
30+ days ago
Job type
  • Full-time
Job description

Claims Specialist

CorVel is seeking a Liability Claims Specialist. The Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients.

This is a Hybrid role.

Essential Functions & 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 non-complex Auto and General Liability claims
  • 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

Knowledge & Skills :

  • 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
  • Education & Experience :

  • 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
  • Pay Range : $51,807 - $83,551

    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.

    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.

    Create a job alert for this search

    Claim Specialist • Rockville, MD, US

    Related jobs
    • Promoted
    Claims Resolution Specialist

    Claims Resolution Specialist

    Advantia healthWashington, DC, US
    Full-time
    Advantia is seeking a Claims Resolution Specialist to join our team! As a Claims Resolution Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement fo...Show moreLast updated: 30+ days ago
    • Promoted
    Travel CT Tech - $2,447 to $2,626 per week in Silver Spring, MD

    Travel CT Tech - $2,447 to $2,626 per week in Silver Spring, MD

    AlliedTravelCareersGermantown, Maryland, US
    Full-time
    AlliedTravelCareers is working with Host Healthcare to find a qualified CT Tech in Silver Spring, Maryland, 20910!.Host Healthcare is an award-winning travel healthcare company with an immediate op...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Sterile Processing Tech - $1,080 to $1,198 per week in Clinton, MD

    Travel Sterile Processing Tech - $1,080 to $1,198 per week in Clinton, MD

    AlliedTravelCareersColumbia, Maryland, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified Sterile Processing Tech in Clinton, Maryland, 20735!. Ready to start your next travel adventure? LRS Healthcare offers a full b...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Sterile Processing Tech - $1,080 to $1,198 per week in Baltimore, MD

    Travel Sterile Processing Tech - $1,080 to $1,198 per week in Baltimore, MD

    AlliedTravelCareersColumbia, Maryland, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified Sterile Processing Tech in Baltimore, Maryland, 21237!. Ready to start your next travel adventure? LRS Healthcare offers a full...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Specialist

    Claims Specialist

    VirtualVocationsBaltimore, Maryland, United States
    Full-time
    A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits. Key Responsibilities Resolve complex claims issues by investig...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Advisor, Professional Liability

    Claims Advisor, Professional Liability

    SedgwickWashington, DC, US
    Full-time
    Claims Advisor, Professional Liability.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the ...Show moreLast updated: 30+ days ago
    • Promoted
    Provider Services Claims Team Lead

    Provider Services Claims Team Lead

    Cynet SystemsBethesda, MD, US
    Full-time
    Manage the team of Claims Specialists.Oversee, and modify as needed, claims operations to ensure timely, effective, and efficient services to customers. Manage individual caseload and customer servi...Show moreLast updated: 30+ days ago
    • Promoted
    Healthcare Claims Analyst

    Healthcare Claims Analyst

    VirtualVocationsBaltimore, Maryland, United States
    Full-time
    A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.Key Responsibilities Research, resolve, and follow up on rejected or unpaid pharmacy claims for a...Show moreLast updated: 9 days ago
    • Promoted
    Cyber Claims Operations Specialist

    Cyber Claims Operations Specialist

    VirtualVocationsWashington, District of Columbia, United States
    Full-time
    A company is looking for a Claims Operations Specialist specializing in processing cyber insurance claims.Key Responsibilities Develop and implement processes for the intake, organization, and re...Show moreLast updated: 1 day ago
    • Promoted
    Claims Team Lead, Professional Liability

    Claims Team Lead, Professional Liability

    SedgwickWashington, DC, US
    Full-time
    Claims Team Lead, Professional Liability.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing th...Show moreLast updated: 30+ days ago
    • Promoted
    Bilingual Absence Claims Specialist

    Bilingual Absence Claims Specialist

    ComPsych CorporationWashington, DC, US
    Full-time
    Bilingual Absence Claims Specialist.As a Bilingual Absence Claims Specialist you are responsible for processing medical certifications in a high production environment while answering emails and co...Show moreLast updated: 30+ days ago
    • Promoted
    Subject Matter Expert (SME) - VHA Health Claims Processing

    Subject Matter Expert (SME) - VHA Health Claims Processing

    Trilogy FederalWashington, DC, United States
    Full-time
    Trilogy Federal drives innovative solutions for complex business challenges across financial management, healthcare, and government industries. Our collaborative, client-first service approach, comb...Show moreLast updated: 1 day ago
    • Promoted
    Senior Environmental Technical Claims Specialist

    Senior Environmental Technical Claims Specialist

    Argonaut Management Services, IncWashington, DC, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Team Lead

    Claims Team Lead

    VirtualVocationsFairfax, Virginia, United States
    Full-time
    A company is looking for a Team Lead, Claims.Key Responsibilities Manage a team of 12-15 claims examiners and adjusters Ensure adherence to client guidelines and monitor staff productivity and a...Show moreLast updated: 30+ days ago
    • Promoted
    Reimbursement Specialist

    Reimbursement Specialist

    Amergis Healthcare StaffingColumbia, MD, US
    Full-time
    The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill claims and / or invoices, follows up on unpaid accounts, and provides support and customer service...Show moreLast updated: 30+ days ago
    • Promoted
    Medicare Claims Specialist

    Medicare Claims Specialist

    VirtualVocationsRockville, Maryland, United States
    Full-time
    A company is looking for a Medicare Specialist to manage and resolve Medicare claims for multiple hospital or physician groups. Key Responsibilities Resolve aged, outstanding, and denied medical c...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Escalation Specialist

    Claims Escalation Specialist

    VirtualVocationsFairfax, Virginia, United States
    Full-time
    A company is looking for a Claims Escalation Specialist responsible for reviewing and processing healthcare claims and escalations. Key Responsibilities Review and analyze healthcare claims to ens...Show moreLast updated: 2 days ago
    • Promoted
    Travel Sterile Processing Tech - $1,061 per week in Clinton, MD

    Travel Sterile Processing Tech - $1,061 per week in Clinton, MD

    AlliedTravelCareersColumbia, Maryland, US
    Full-time
    AlliedTravelCareers is working with FlexCare to find a qualified Sterile Processing Tech in Clinton, Maryland, 20735!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians...Show moreLast updated: 2 days ago