12/09/2024
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives claims, confirms policy coverage and acknowledgement of the claim
Determines the validity and compensability of the claim
Establishes reserves and authorizes payments within established reserving authority limits
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 necessary
Additional projects and duties as assigned
KNOWLEDGE & SKILLS:
Excellent Customer Service Skills
Excellent written and verbal communication skills
Ability to learn rapidly to develop knowledge and...
CorVel
Acton, MA, USA
Full Time