This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Customer Experience Specialist at Reserv, you will be an integral part of our dedicated team focused on providing exceptional service to our customers during the insurance claims process. - Handle phone and email inquiries, providing support and ensuring a smooth and positive experience for all involved parties as they navigate their claims journey. - Deliver exceptional, empathetic assistance using your expertise in multi-line insurance and claims. Qualifications - Highly motivated and growth-oriented. - Passionate CX professional who cares deeply about the customer and their experience. - Empathetic, exercising empathy and patience towards everyone you interact with. - Sense of urgency at all times, balanced with the ability to be detail-oriented. - Creative, challenging existing assumptions and finding creative solutions to problems. - Curious, wanting to know the whole story to make the right decisions early. - Anti-status quo, taking action to change things for the better. - Communicative, comfortable with phone communications throughout the claims process. - A sense of humor. Requirements - High school diploma or equivalent; bachelor's degree or relevant insurance certifications are a plus. - Previous experience in customer service or a call center environment within the insurance industry, preferably with a focus on property or liability claims. - Strong knowledge of multi-line insurance claims processes, terminology, and best practices. - Excellent communication skills, both verbal and written. - Active listening skills to understand customer needs, concerns, and emotions. - Strong problem-solving and critical-thinking abilities. - Proficiency in using customer relationship management (CRM) systems and other relevant software applications. - Empathy, patience, and resilience to handle challenging customer interactions. - Strong organizational and time management skills to prioritize tasks and meet deadlines effectively. - Must be able to obtain designated home state claim adjuster license in 60 days. Benefits - Generous health-insurance package with nationwide coverage, vision, & dental. - 401(k) retirement plan with employer matching. - Competitive PTO policy – we want our employees fresh, healthy, happy, and energized! - Generous family leave policy after 8 months of continuous work. - Work from anywhere to facilitate your work-life balance. - Apple laptop, large second monitor, and other quality-of-life equipment. - Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role. - Work toward reducing and eliminating all the administrative work from an adjuster role. - Foster a culture of empathy, transparency, and empowerment in a remote-first environment.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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. - 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 claims as necessary - Additional duties as assigned Qualifications - Bachelor's degree or a combination of education and related experience - Minimum of 1 year of industry experience and claims management preferred - State Certification as an Experienced Examiner Requirements - 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 Benefits - 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. 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

• Responsible for investigating and confirming the facts of loss for advanced automobile accidents. • Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. • Every claim presents a new challenge. • This role is ideal for someone who enjoys problem-solving, analyzing information, and making confident decisions while supporting customers and internal partners.

• To analyze mid- and higher-level workers compensation claims to determine benefits due. • Ensure ongoing adjudication of claims within company standards and industry best practices. • Identify subrogation of claims and negotiate settlements. • Develop and manage workers compensation claims' action plans to resolution. • Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract. • Communicate claim action with claimant and client. • Ensure claim files are properly documented and claims coding is correct.