Top 197 Claims specialist Jobs in Philadelphia, Pa

Senior Claims Specialist
CorVel Corporation —Norristown, PA
- $61,053 - $98,334 a year
- Full-time
- Hybrid work
- Customer service
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
12d
Recertification Claims Specialist
Lincoln Financial —Radnor, PA
- $55,700 - $100,200 a year
- Online Application
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
- Disability insurance
- Tuition reimbursement
19h
Accounts Resolution Specialist I
Penn Medicine —Philadelphia, PA
- Hybrid work
- Mid-level
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Appeals & Grievance Case Resolution Specialist
Amerihealth Caritas —Philadelphia, PA
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Research
- Paid holidays
- Health insurance
8d
Accounts Resolution Specialist II Penn Center for Primary Care
Penn Medicine —Philadelphia, PA
- Monday to Friday
- 5 years
- Primary Care
- Mid-level
- Tuition reimbursement
Quick Apply
5d
BILLING SPECIALIST
The GEO Group —Doylestown, PA
- $30 an hour
- Full-time
- Research
- Mid-level
- 3 years
- Paid training
- Health savings account
Stop Loss Claims Specialist
Marsh McLennan Agency —Conshohocken, PA
- $57,738 - $65,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- 401(k)
Patient Engagement Specialist
HLH Holdings LLC dba Highlight Health —Philadelphia, PA
- $60,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Revenue Cycle Specialist
Penn Medicine —Philadelphia, PA
- Full-time
- Microsoft Outlook
- HIPAA
- Mid-level
- Tuition reimbursement
Quick Apply
9d
Accounts Receivable Specialist
JEVS Human Services —Philadelphia, PA
- $50,000 - $52,500 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Commuter assistance
- Paid holidays
Quick Apply
Issue Resolution Specialist
Independence Blue Cross —Philadelphia, PA
- Microsoft Access
- Microsoft Outlook
- Mid-level
Accounts Resolution Specialist I - RAD-O-BRO Data Acct Receivable
Penn Medicine —Philadelphia, PA
- Monday to Friday
- Mid-level
- High school diploma or GED
- Tuition reimbursement
Quick Apply
14d
Payment Integrity Specialist
Council Capital —Newtown Square, PA
- $75,000 - $80,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- US work authorization
Claims Administrative Support Specialist
Progressive —Plymouth Meeting, PA
- $21.58 - $23.02 an hour
- Monday to Friday
- Office
- Administrative experience
- High school diploma or GED
- Health savings account
- Disability insurance
Contract Specialist (12 Month Register)
US Defense Logistics Agency —Philadelphia, PA
- $68,013 - $128,221 a year
- Part-time
- Pass drug screening
- Mid-level
- Master's degree
URBN Leave of Absence Specialist
URBN —Philadelphia, PA
- Full-time
- OSHA
- Writing skills
- HIPAA
- Paid parental leave
- Health insurance
Workers' Compensation Claims Specialist
CorVel Corporation —Norristown, PA
- $51,807 - $83,551 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
ESIS Claims Specialist, AGL
Chubb —Philadelphia, PA
- Full-time
- 7 years
- Mid-level
- Experience equivalent to degree accepted
Accounts Resolution Specialist I - Ophth Clinical Support SEI
Penn Medicine —Philadelphia, PA
- Full-time
- Mid-level
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Cash Posting Specialist
Charlie Health Behavioral Health Operations —Jenkintown, PA
- $45,000 - $52,500 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Health insurance
Quick Apply

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Senior Claims Specialist

CorVel Corporation -
Norristown, PA

Quick Apply

Job Details

Full-time
$61,053 - $98,334 a year
12 days ago

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Customer communication

Full Job Description

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This role is available for both remote and hybrid work arrangements.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim
Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
Establishes reserves and authorizes payments within reserving authority limits
Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
Coordinates early return-to-work efforts with the appropriate parties
Manages subrogation and litigation of claim as it applies
Manages potential claim recoveries of all types
Reports claims to the excess carrier when applicable
Communicates claim status with the customer and claimant
Adheres to client and carrier guidelines and participates in claims review as needed
Develops and maintains professional customer relationships
Complies with rules and regulations of applicable state
Additional duties as assigned

KNOWLEDGE & SKILLS:

Excellent written and verbal communication skills
Ability to assist team members to develop knowledge and understanding of claims practice
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to work both independently and within a team environment
Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation

EDUCATION & EXPERIENCE:

Bachelor's degree or a combination of education and related experience
Minimum of 3 years’ industry experience and claim handling
Self-Insured Certificate preferred
State Certification or license as an experienced claims adjuster
Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $61,053 – $98,334

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

claims specialist jobs in philadelphia, pa

Senior Claims Specialist

Recertification Claims Specialist

Accounts Resolution Specialist I

Appeals & Grievance Case Resolution Specialist

Accounts Resolution Specialist II Penn Center for Primary Care

BILLING SPECIALIST

Stop Loss Claims Specialist

Patient Engagement Specialist

Revenue Cycle Specialist

Accounts Receivable Specialist

Issue Resolution Specialist

Accounts Resolution Specialist I - RAD-O-BRO Data Acct Receivable

Payment Integrity Specialist

Claims Administrative Support Specialist

Contract Specialist (12 Month Register)

URBN Leave of Absence Specialist

Workers' Compensation Claims Specialist

ESIS Claims Specialist, AGL

Accounts Resolution Specialist I - Ophth Clinical Support SEI

Cash Posting Specialist

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