理赔专员
Claims Specialist
工人赔偿索赔专家在公司最佳实践范围内管理低级，不复杂和无问题工人受委托有限权力内的薪酬索赔以最好的结果，在高级索赔专业人员的直接监督下，支持索赔部门和 CorVel 的目标。这是一个远程职位。·管理非复杂的失业工人密切监督下的赔偿索赔 ·与客户，索赔者和客户沟通索赔状况 ·遵守客户和运营商指南并根据需要参与索赔审查 ·酌情协助其他索赔专业人员提出更复杂或有问题的索赔 · 额外项目和职责：·卓越的书面和口头通信技能 ·能够快速学习发展对索赔实践的知识和理解 ·识别，分析和解决问题的能力 ·计算机能力和技术能力以及使用微软 Office 包括 Excel 表格的能力 ·强大的人际关系，时间管理和组织技能 · 能够满足或超越绩效能力 · 能够独立工作以及在团队环境中工作的能力教育与经验：· 学士学位或教育及相关经验结合 · 最少1年的行业经验和索赔管理优先 · 当前工人的执照或认证 在科尔维尔公司的工作期间必须保持补偿• 奥里根州工人至少2年补偿索赔处理经验 PAY RANGE 科尔维爾使用基于市场的方式支付费用，我们的薪资范围可能会根据你所在地而异。工资率根据以下因素确定：联邦，州和地方最低工资要求，地理位置差异，与工作相关技能，经验，资格，员工内部公平性以及市场条件。我们的范围随时可修改。对于级别角色 （I,II,III,高级，领导等）新人可以分为不同水平，无论是上升还是下降，基于面试过程中的评估，考虑到面试过程中的情况。
查看英文原文
The Workers’ CompensationClaims 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 necessary
- Additional projects and duties as assigned
KNOWLEDGE & SKILLS:
- Excellent written and verbal communication skills
- Ability to learn rapidly to develop knowledge and understanding of claims practice
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
- Strong interpersonal, time management and organizational skills
- Ability to meet or exceed performance competencies
- Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year of industry experience and claims management preferred
- Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
- Minimum of 2 years Oregon workers’ compensation claims handling experience
PAY RANGE
CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range, and these adjustments would be clarified during the offer process.
Pay Range: $52,999 – $85,473
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, 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 publicly 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 4,000 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 regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
Originally posted on Himalayas