• Responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems • Identify and rectify claim inaccuracies that would result in client over-payment • Contact pharmacies for proper documentation to ensure a claim was submitted correctly • Monitor assigned clients and report status on a regular basis • Follow appropriate policies in the event of an inaccurate claim submission

Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer.

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 - 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 Requirements - 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 Benefits - 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!).

• Process insurance claims for property losses. • Interact with independent adjusters and policy holders. • Review claim forms and other records to determine insurance coverage. • Make payment recommendations and settlements. • Investigate, evaluate, and resolve claims. • Adjust reserves and provide reserve recommendations. • Enter claim transactions. • Examine claims inspected by independent adjusters. • Conduct daily diary reviews on claim files. • Pay and process claims within designated authority level. • Supervise independent adjusters to ensure adherence to guidelines. • Maintain compliance with insurance and company policies.