[Remote] WC Disability Claims Specialist I - NY Pension PPD

Note: The job is a remote job and is open to candidates in USA. CorVel Corporation is a national provider of industry-leading risk management solutions for various sectors, including workers’ compensation. They are seeking a WC Disability Claims Specialist I to manage workers’ compensation claims, ensuring timely payments and pursuing settlement opportunities while adhering to company best practices.

Responsibilities

• Receives claims, confirms policy coverage and acknowledgement of the claim
• Reviews 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 as needed 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 duties as assigned

Skills

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

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

Company Overview