2 workers compensation claims specialist jobs found in Portland

The Workers’ Compensation 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 position. ESSENTIAL FUNCTIONS & 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 within reserving authority limits Manages non-complex 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...

We’re looking for a seasoned  Claim Specialist IV to take ownership of complex lost time claims while serving as a mentor and subject matter expert within our Claims team. This is a high-visibility role designed for a skilled professional who thrives in a fast-paced environment, exercises sound judgment, and enjoys elevating the capabilities of others. The Claim Specialist IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. This position can be remote, hybrid or in-person What You’ll Do Own the full claim lifecycle: Investigate, evaluate, negotiate, and resolve lost time workers’ compensation claims within designated settlement and reserving authority Analyze complex exposures: Assess compensability, medical, legal, and indemnity...