1 Medical Only Claims Specialist Job in Downers Grove, IL
CorVel Corporation is Hiring a Medical Only Claims Specialist Near Downers Grove, IL
The positions is remote.
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.
- Must have and maintain Idaho Resident Claims Adjuster’s license.
- Excellent Customer Service Skills
- Excellent written and verbal communication skills
- Ability to learn rapidly to develop knowledge and understanding of claims practice, relevant statutes and medical terminology
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
- Strong interpersonal, time management and organizational skills
- Ability to work both independently and within a team environment
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year industry experience and claim handling
- WC experience required
- Licensed as required jurisdictionally
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: $15.98 - $25.69 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
About CorvelCorVel, 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.
Job Summary
Full Time
Business Services
$81k-99k (estimate)
02/14/2023
07/04/2024
corvel.com
RANCHO CUCAMONGA, CA
3,000 - 7,500
1987
LORIE GONZALEZ
$500M - $1B
Business Services
Related Companies
About CorVel Corporation
Responsive Solutions Reimagined. CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $595 million in FY2019. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve customers through a national branch office network covering... all 50 states.
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