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WC Claims Specialist, Floater
CorVel Corporation. Receive Workers’ Compensation claims, confirm policy coverage, and acknowledge claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing Workers’ Compensation claims, including claim validity assessment, reserve establishment, and payment authorization. Proficient in communication and problem-solving within a team environment while adhering to client and carrier guidelines.
Highest-signal resume keywords
Workers’ Compensation Claims ManagementSIP ExperienceCurrent Workers’ Compensation LicenseBilingual in SpanishComputer Proficiency in Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Validity AssessmentReserve EstablishmentPayment AuthorizationClaims Review ParticipationProblem Identification and Analysis
Soft Skills
Excellent Written CommunicationExcellent Verbal CommunicationStrong Interpersonal SkillsTime ManagementOrganizational Skills
Tools & Technologies
Microsoft OfficeExcel Spreadsheets
Certifications & Qualifications
Current Workers’ Compensation License
Industry Keywords
Workers’ CompensationClaims Practice4850 ExperienceEd-Code ExperienceCalifornia Residency
About the role
Key responsibilities & impact- Receive Workers’ Compensation claims, confirm policy coverage, and acknowledge claims
- Determine claim validity and compensability
- Establish reserves and authorize payments within reserving authority limits
- Manage non-complex lost-time workers’ compensation claims under close supervision
- Communicate claim status with customers, claimants, and clients
- Adhere to client and carrier guidelines
- Participate in claims reviews as needed
- Assist claims professionals with more complex or problematic claims
- Comply with safety rules and regulations during working hours
- Complete additional projects and duties as assigned
Requirements
What you’ll need- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year of industry experience
- SIP experience required
- Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
- Bilingual in Spanish is preferred
- 4850 and Ed-Code experience preferred
- Excellent written and verbal communication skills
- Ability to learn rapidly and develop knowledge and understanding of claims practice
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude, including Microsoft Office and Excel spreadsheets
- Strong interpersonal, time management and organizational skills
- Ability to meet or exceed performance competencies
- Ability to work independently and within a team environment
- Must reside in California
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 arrangement
- Career advancement opportunities
- Supportive company culture