Medical Only Claims Specialist

CorVel Corporation

. Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim .

Posted 9/18/2026full-timeRemote • California • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Workers’ Compensation claims handling, including policy coverage verification, claim validity assessment, and reserve establishment. Proficient in customer communication and problem-solving within a team-oriented environment.

Highest-signal resume keywords

Workers’ Compensation ExperienceClaims HandlingLicensed JurisdictionallyCustomer Service SkillsMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims Validity AssessmentReserve EstablishmentPayment AuthorizationClaims Review ParticipationProblem Analysis and Resolution

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationInterpersonal SkillsTime ManagementOrganizational Skills

Tools & Technologies

Microsoft OfficeExcel Spreadsheets

Industry Keywords

Workers’ CompensationClaims PracticeRelevant StatutesMedical Terminology

About the role

Key responsibilities & impact

Receives Workers’ Compensation 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
Performs additional duties as assigned

Requirements

What you’ll need

Bachelor's degree or a combination of education and related experience
Minimum of 1 year industry experience and claim handling
Workers’ Compensation experience required
Licensed as required jurisdictionally
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

Benefits

Comp & perks

Medical (HDHP) w/Pharmacy
Dental insurance
Vision insurance
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
Remote work
Career advancement opportunities
Supportive culture