4 employee benefits account specialist jobs found in Glen Allen, VA

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This role is available for Hybrid or Remote work arrangements.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim...

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...

The Provider Data Specialist is responsible for maintaining the accuracy of data in CorVel’s national provider database (NDB). This database contains provider demographic information that drives the National PPO lookup and plays a crucial role in the bill review process.  The is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provider Requests – Responsible for researching credentialing, NPI, specialty, licenses and certifications required prior to adding providers and contracts, as requested through the Provider Request Manager housed within MedCheck (provider add and network review requests). It is essential that the Provider Requests be processed within 24 hours for live bills Responsible for notifying PPO staff via email when items need to be escalated due to being beyond the limitations of the Provider Data Specialists knowledge, skills, ability or authority Responsible for adding and terminating providers to the PPO within 5 days of receiving via...

Company Details   Verus Specialty Insurance is an Excess and Surplus Lines provider writing business countrywide, a member of W.R. Berkley Corporate (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States.  The resources and strength of a Fortune 500 company back us and we operate with the flexibility and closeness of a small underwriting company.  As such, Verus Specialty Insurance operates through a group of wholesale producers nationwide.     Our leadership encourages a culture that empowers employees to question the status quo and seek innovative ways to continue to exceed the expectations of our customers. We believe our strength comes from building an exceptional team that embraces collaboration, growth and ownership. If you share our vision and want to work for an organization that values your contributions, we want to hear from you!   The Company is an equal employment opportunity employer....