Talent.com
Indemnity Claims Specialist

Indemnity Claims Specialist

CorVel Enterprise Claims, Inc.Waukesha, WI, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job 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.

This is a remote 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 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

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 :

    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 : $51,807 – $83,551

    A list of our benefit offerings can be found on our CorVel website : CorVel Careers | Opportunities in Risk Management

    In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

    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

    Create a job alert for this search

    Claim Specialist • Waukesha, WI, US

    Related jobs
    • Promoted
    • New!
    Priority Claims Specialist III

    Priority Claims Specialist III

    Hanger, Inc.Milwaukee, WI, US
    Full-time +1
    Priority Claims Specialist III.Category : Medical Office Professionals.With a mantra of Empowering Human Potential, Hanger, Inc. O&P) services and products, offering the most advanced O&P sol...Show moreLast updated: less than 1 hour ago
    • Promoted
    Travel CT Technologist

    Travel CT Technologist

    Host HealthcareElkhorn, WI, US
    Full-time
    Host Healthcare is seeking a travel CT Technologist for a travel job in Elkhorn, Wisconsin.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per week (subject to...Show moreLast updated: 19 days ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    PS CompaniesWest Bend, WI, US
    Full-time
    PS Companies is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in West Bend, Wisconsin.Job Description & Requirements. PS Companies is seeking an experienced ED RN ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel CT Technologist

    Travel CT Technologist

    Malone Healthcare - NursingElkhorn, WI, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel CT Technologist for a travel job in Elkhorn, Wisconsin.Job Description & Requirements. About Malone Healthcare - Nursing.With a commitment to...Show moreLast updated: 13 days ago
    • Promoted
    • New!
    Commercial Liability Claims Specialist

    Commercial Liability Claims Specialist

    Erie InsuranceMilwaukee, WI, US
    Full-time
    This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location...Show moreLast updated: less than 1 hour ago
    • Promoted
    • New!
    Med-Only Claims Specialist

    Med-Only Claims Specialist

    Cities and Villages Mutual Insurance CompanyWauwatosa, WI, US
    Full-time
    Cities and Villages Mutual Insurance Company.Under the general supervision of the Worker's Compensation Claims Manager, this position is responsible for investigating, processing, and adjusting med...Show moreLast updated: less than 1 hour ago
    Claims Specialist

    Claims Specialist

    ArteraUSA, Wisconsin, Milwaukee
    Full-time
    Manage all claims while under the general supervision of the Claims Director.Provide monthly updates and reporting.Coordination and database management. and other projects as assigned by the manage...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Emergency & Trauma Registered Nurse

    Travel Emergency & Trauma Registered Nurse

    PRN HealthcareWest Bend, WI, US
    Full-time
    PRN Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in West Bend, Wisconsin.Job Description & Requirements. PRN Healthcare Job ID #1452715.Pay package ...Show moreLast updated: 19 days ago
    • Promoted
    Travel Emergency & Trauma Registered Nurse

    Travel Emergency & Trauma Registered Nurse

    Access HealthcareWest Bend, WI, US
    Full-time
    Access Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in West Bend, Wisconsin. Job Description & Requirements.Access Healthcare Job ID #73250934.Pay p...Show moreLast updated: 19 days ago
    • Promoted
    Indemnity Claims Specialist

    Indemnity Claims Specialist

    CorVel Enterprise Claims, Inc.Milwaukee, WI, US
    Full-time
    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 outco...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Specialist

    Claims Specialist

    Miller PipelineNew Berlin, WI, US
    Full-time
    Manage all claims while under the general supervision of the Claims Director.Provide monthly updates and reporting.Coordination and database management. and other projects as assigned by the manage...Show moreLast updated: 15 days ago
    • Promoted
    Medical Claims Specialist - Remote

    Medical Claims Specialist - Remote

    Rising Medical SolutionsMilwaukee, WI, US
    Remote
    Full-time
    The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring compliance and enhancing client relationshi...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    A WI Facility Is Searching for a Locums Hospitalist

    A WI Facility Is Searching for a Locums Hospitalist

    Weatherby HealthcareWisconsin, WI, United States
    Full-time
    If you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details. Night shifts 6 : 30pm - 6 : 30am and day shifts 7am - 7pm.Day census ...Show moreLast updated: 1 hour ago
    • Promoted
    Travel Emergency & Trauma Registered Nurse

    Travel Emergency & Trauma Registered Nurse

    PRIDE HealthWest Bend, WI, US
    Full-time
    PRIDE Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in West Bend, Wisconsin.Job Description & Requirements. Pay package is based on 12 hour shifts and 36...Show moreLast updated: 19 days ago
    • Promoted
    Med-Only Claims Specialist

    Med-Only Claims Specialist

    MRA Recruiting ServicesMilwaukee, WI, US
    Full-time
    Under the general supervision of the Worker's Compensation Claims Manager, this position is responsible for investigating, processing, and adjusting med-only worker's compensation claims.The abilit...Show moreLast updated: 14 days ago
    • Promoted
    RN-Emergency Dept

    RN-Emergency Dept

    AscensionPort Washington, WI, US
    Full-time
    Various health insurance options & wellness plans.Retirement benefits including employer match plans.Long-term & short-term disability. Employee assistance programs (EAP).Parental leave & adoption a...Show moreLast updated: 3 days ago
    • Promoted
    RN-Clinical Lead

    RN-Clinical Lead

    AscensionMequon, WI, US
    Full-time
    Department : Nursing Unit 3 North.Schedule : Full-Time, Night Shift.Various health insurance options & wellness plans.Retirement benefits including employer match plans. Long-term & short-term disabil...Show moreLast updated: 14 days ago
    • Promoted
    RN Clinical Lead | Specialty

    RN Clinical Lead | Specialty

    AscensionMequon, WI, US
    Full-time
    Various health insurance options & wellness plans.Retirement benefits including employer match plans.Long-term & short-term disability. Employee assistance programs (EAP).Parental leave & adoption a...Show moreLast updated: 14 days ago