CorLife is a full spectrum health care services provider and benefits coordinator serving injured workers, workers' compensation carriers, nurse case managers, third party administrators, and self-insured employers. By providing all levels of home care, durable medical equipment, orthotics, prosthetics, complex rehab technology, medical supplies, home modifications, wheelchair accessible vehicles, and much more, our mission is to help the injured workers we serve return to work and return to life as safely and quickly as possible.

JOB PURPOSE:

The Claims Specialist is responsible for managing the day-to-day claims operations.

KEY RESPONSIBILITIES:

▪ Reviews all new claims and establishes a plan of action to achieve favorable claim resolution.
▪ Reviews claims status, action plans, and reserves consideration of client cost.
▪ Advocates, consults and provides coverage advice to clients as appropriate.
▪ Searches for new Home Care agencies, ATPs, DME companies, etc.
▪ Manages billing, quoting and negotiating rates with adjusters and vendors.
▪ Performs other related duties as assigned.

LEADERSHIP PRINCIPLES BEHAVIORS:

▪ Urgency – maintains a sense of urgency as needed.
▪ Bold – challenges the status quo when faced with obstacles while assisting customers.
▪ Effective listening – stays focused on the moment, clarifies and reflects.
▪ Compassionate – shows understanding and concern for others.
▪ Clear vision – forward thinking.

QUALIFICATIONS, SKILLS AND EXPERIENCE:

 Bachelor’s Degree preferred.  Ability to prioritize efficiently and remain focused while handling multiple tasks
 Strong communication, analytical and customer service skills. Attention to Detail: Must thoroughly review medical records, orders, and emails to ensure all aspects of a claim are handled appropriately and as requested.  Communication Skills: Clear and effective communication with insurance adjusters, nurse case managers, medical professionals, vendors, injured workers, and legal teams is essential for facilitating the claim process. Analytical Thinking: The ability to assess complex information, identify trends, and make decisions based on facts is necessary Organizational Skills: Managing multiple claims, tracking deadlines, and maintaining accurate records requires strong organizational abilities to ensure timely and efficient resolution. 

PHYSICAL REQUIREMENTS:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

▪ Ability to meet essential functions of the position with reasonable accommodations as necessary.
▪ Prolonged periods of working at a desk and/or on a computer
▪ Ability to work overtime as needed.

At Numotion, we offer competitive compensation packages, including medical, dental and vision insurance, short-term and long-term disability, a 401k, and life insurance. Numotion is an equal opportunity employer. We strive for a workplace that reflects the communities we serve and do not tolerate discrimination against our employees, customers, and partners regardless of ethnicity, disability, gender identity, sexual orientation, religion, age, citizenship, marital or veteran status. Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.