2 claims examiner i jobs found

The RTW coordinator facilitates safe, timely and appropriate return to work outcomes for injured employees. Through working partnerships with CorVel’s clients, the coordinator will identify RTW potential and will coordinate activities to achieve return to work outcomes that are successful for our clients and the employee. This is a remote role. Candidates must reside in Tennessee.  ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Direct contact with the client, injured employees and healthcare providers to determine RTW potential and coordinate RTW efforts Active participation in RTW efforts with examiner and nurse case managers Actively works with physicians to clarify medical restrictions, limitations and their impact on work functionality Works with client locations to identify job functions that can be modified and creates a bank of potential RTW job descriptions for future use Monitors injured workers' RTW status to increase functional ability before RTW...

The Indemnity 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 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...