Medical-Only Workers’ Compensation Claims Specialist

Job overview

The Medical-Only Workers’ Compensation Claims Specialist role is fully remote, with the listing location in Rancho Cucamonga, California. The pay range is $16.74–$26.92 per hour. CorVel provides risk-management solutions for workers’ compensation, auto, health, and disability management. The specialist manages straightforward medical-only claims under close supervision, supporting the Claims Department’s service and operational goals. The role reviews coverage and compensability, manages authorized payments, and communicates claim status with customers, claimants, and clients.

What you'll do

• Receive workers’ compensation claims and confirm coverage and acknowledgement
• determine claim validity and compensability
• establish reserves and authorize payments within limits
• communicate claim status
• follow client and carrier guidelines
• participate in claims reviews and assist colleagues with more complex claims as needed.

What we're looking for

Skills & competencies

claims specialist

workers’ compensation

medical-only claims

remote

rancho cucamonga ca

full-time

$16.74–$26.92/hr

claims handling

insurance

corvel

customer communication

bachelor’s degree

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, disability, HSA and FSA options, life and accident insurance, critical illness and prepaid legal insurance, transit FSA, 401(k), Roth 401(k), and paid time off.

Why this role

The posting identifies this as a remote position and lists a comprehensive benefits package for full-time regular employees.

About the employer

CorVel Enterprise Claims, Inc. is hiring for this role. Industry: All Other Insurance Related Activities. Sector: 52.