Listing details
- Posted Sep 13
- Last verified Oct 31
About the job
Essential Functions & Responsibilities
- Receives claim and processes based on state rules and regulations
- Determines validity and compensability of the claim using CorVel proprietary programs
- Makes recommendations and communicates claim status to referring office
- Read and comprehend all medical reports
- 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
- Maintain HIPAA compliance
- Additional duties as assigned
Knowledge & Skills
- Ability to learn rapidly to develop knowledge and understanding of claims practices
- Strong