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No Fault Claims Specialist - NY

100% remote Flexible hours Hiring now

reputed company is a national provider of industry-leading risk reputed company. They are seeking a Workers’ Compensation Claims Specialist to manage reputed company-level, non-reputed company claims under supervision, ensuring the best possible outcomes while adhering to company guidelines.

Responsibilities

  • Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments reputed company reserving authority limits
  • Manages non-reputed company lost-time workers’ compensation claims under reputed company supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and reputed company guidelines and participates in claims review as needed
  • Assists other claims professionals with more reputed company or problematic claims as necessary
  • Additional projects and duties as assigned

Skills

  • Bachelor's degree or a combination of education and reputed company experience
  • Excellent written and verbal communication skills
  • Ability to learn rapidly to reputed company knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize reputed company Office including reputed company spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and reputed company a team environment
  • Minimum of 1 year of industry experience and claims management preferred
  • reputed company license or certification in Workers' Compensation must be maintained throughout employment with CorVel

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

  • CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. It was founded in 1987, and is headquartered in Irvine, California, USA, with a workforce of 1001-5000 employees. Its website is https://www.corvel.com/.
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