This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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 role. 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 duties as assigned Qualifications - Excellent customer service skills - Excellent written and verbal communication skills - Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology - Ability to identify, analyze and solve problems - Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets - Strong interpersonal, time management, and organizational skills - Ability to work both independently and within a team environment Requirements - 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 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 - Paid time off Company Description 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!).

• Imagine being part of a team that’s not just shaping the future but actively driving it. • At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. • As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. • We are looking to add Claims Adjusters with Bodily Injury and Municipalities experience to timely and professionally adjust third party General Liability, Auto Liability, Errors and Omissions and Municipalities claims in which a claim exists for bodily injury, personal injury or wrongdoing. • We are seeking candidates with the ability to provide excellent customer service, properly analyze and apply coverage, and adjudicate Bodily Injury claims in a professional manner. • The ideal adjuster has the ability to work efficiently and effectively with insureds, claimants, attorneys and outside vendors to confirm coverage, determine liability and evaluate damages through timely and diligent claim investigations. • We are seeking candidates who hold a valid Florida license with the ability to quickly secure reciprocal licenses in other states, if necessary.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. VT license required. Essential Functions & Responsibilities - Receives claim, confirms policy coverage and acknowledgement of the claim - Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies - Establishes reserves and authorizes payments within reserving authority limits - Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim - Coordinates early return-to-work efforts with the appropriate parties - Manages subrogation and litigation of claim as it applies - Manages potential claim recoveries of all types - Reports claims to the excess carrier when applicable - Communicates claim status with the customer and claimant - Adheres to client and carrier guidelines and participates in claims review as needed - Develops and maintains professional customer relationships - Complies with rules and regulations of applicable state - Additional duties as assigned Qualifications - Excellent written and verbal communication skills - Ability to assist team members 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 MS Office including Excel spreadsheets - Strong interpersonal, time management and organizational skills - Ability to work both independently and within a team environment - Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation Requirements - Bachelor's degree or a combination of education and related experience - Minimum of 6 years’ industry experience and claim handling - Self-Insured Certificate preferred - State Certification as an experienced Examiner 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 - 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: $61,053 - $98,334 Company Description 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!). CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

• To analyze and process low to mid-level auto and transportation claims. • Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate. • Maintains professional client relations. • Performs coverage, liability, and damage analysis on all claims assignments.