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Claims Supervisor (Medical Only Claims)

Remote, USA Full-time Posted 2025-04-26

About the position

The Claims Supervisor (Medical Only Claims) is responsible for overseeing a team of claims staff, ensuring adherence to quality, productivity, and customer service standards while complying with company policies and regulations. This remote role is crucial for the success of the claims department at CorVel, requiring consistent attendance and support for departmental goals.

Responsibilities
• Supervises claims staff in their day-to-day operations
,
• Supports Claims Manager in staff recruitment, interviews, and training of new staff on procedures and job-related functions
,
• Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements
,
• Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations
,
• Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues, and service account instructions
,
• Functions as liaison, suggesting and implementing final resolution for clients and employees regarding claim-specific, procedural or special requests
,
• Adheres to HIPPA regulations, policies, and procedures
,
• Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
,
• Adheres to all company policies, best practices, and procedures
,
• Handles additional projects and duties as assigned

Requirements
• Bachelor's degree or a combination of education and related experience
,
• Minimum of 5 years' experience handling claims
,
• Knowledge of Medical Only Claims required
,
• Current adjusters license or certification must be maintained throughout employment with CorVel
,
• Demonstrated Public Speaking Skills

Nice-to-haves
• Self-Insured Certificate preferred
,
• State Certification as an experienced Examiner

Benefits
• Medical (HDHP) w/Pharmacy
,
• Dental
,
• Vision
,
• 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

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