Workers Comp Claims Specialist- Lost Time Adjuster

Corvel Fairfax , VA 22038

Posted 3 months ago

GENERAL DESCRIPTION:

Manage 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.

ESSENTIAL JOB DUTIES:

  • Receives claim, confirms policy coverage and acknowledgement of the claim

  • Determine validity and compensability of the claim

  • Establish reserves and authorize payments within reserving authority limits

  • Manage non-complex and non-problematic medical-only claims and minor lost-time workers' compensation claims under close supervision

  • Communicate claim status with the customer and claimant and client

  • Adhere to client and carrier guidelines and participate in claims review as needed

  • Assists other claims professionals with more complex or problematic claims as necessary

  • Requires regular and consistent attendance.

  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).

  • Additional duties as required.

KNOWLEDGE & SKILLS:

  • Excellent written and verbal communication skills

  • PC literate, including Microsoft Office (Word, Excel)

  • Ability to learn rapidly to develop knowledge and understanding of claims practice

  • Ability to identify, analyze and solve problems

  • Strong organizational skills

  • Good interpersonal skills

  • Ability to work independently

  • Ability to work in a team environment

  • Ability to meet or exceed performance competencies

EDUCATION: College degree preferred, work experience can substitute for educational requirement

LICENSES: As required

EXPERIENCE: One (1) year of industry experience and claims management preferred

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Workers Comp Claims Specialist- Lost Time Adjuster

Corvel