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Claims Specialist

Company: CorVel Corporation
Location: Acton
Posted on: January 15, 2021

Job Description:

The Claims Specialist Manages within company best practices workers' compensation claims in--Maine and New England states within delegated limited authority to best possible outcome. Work with employer, vendors, attorneys, physicians and nurse case managers to obtain a successful return to work. At least 2-5 years handling NY Workers Compensation claims. Knowledge of Maine, New Hampshire, Vermont, Massachusetts, Connecticut and Rhode Island preferred but not required. About CorVel CorVel is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publically traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 3500 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time employees and includes medical, dental, vision, 401K, and paid time off. ESSENTIAL JOB DUTIES:

  • Receives claim, confirms policy coverage and acknowledgement of the claim
  • Determine validity and compensability of the claim
  • Establish reserves and authorize payments within reserving authority limits
  • Manage 125-135 lost-time workers' compensation claims
  • Communicate claim status with the customer and claimant and client
  • Adhere to client and carrier guidelines and participate in quarterly claims reviews
  • Requires regular and consistent attendance. Flexible work schedule.
  • Great work-life balance
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
  • Additional duties as required. KNOWLEDGE & SKILLS:
  • Excellent written and verbal communication skills
  • PC literate, including Microsoft Office (Word, Excel)
  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work independently
  • Ability to work in a team environment
  • Ability to meet or exceed performance competencies EDUCATION:
  • College degree preferred, work experience can substitute for educational requirement LICENSES:
  • New York State Adjuster License required. New England states preferred. Ability to obtain additional licenses in 90 days EXPERIENCE:
  • Two (2) to 5 (five) years of NYS Workers Compensation claims management preferred

Keywords: CorVel Corporation, Boston , Claims Specialist, Other , Acton, Massachusetts

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