Medical-Only Workers’ Compensation Claims Specialist

Job overview

The Medical-Only Workers’ Compensation Claims Specialist is listed as remote, with Liverpool, NY shown as the listing location. Pay is $16.74–$26.92 per hour. The role supports CorVel’s Claims Department and its workers’ compensation services. The specialist handles non-complex medical-only claims under close supervision, helping determine coverage and compensability, establish reserves, authorize payments within limits, and communicate claim status to customers, claimants, and clients.

What you'll do

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

What we're looking for

Skills & competencies

medical-only claims

workers’ compensation

claims specialist

remote

liverpool ny

corvel

full-time

day shift

$16.74–$26.92/hr

claims handling

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, long-term disability, health savings and flexible spending accounts, life and accident insurance, critical illness insurance, prepaid legal insurance, parking and transit FSA accounts, 401(k), Roth 401(k), and paid time off.

Why this role

Remote position; workers’ compensation experience required; bachelor’s degree or a combination of education and related experience.

About the employer

CorVel Enterprise Claims, Inc. is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.