OPT Medical Claims Examiner Jobs
Medical Claims Examiner roles fall under healthcare administration, a field where many employers hire on OPT. Your 12-month standard OPT window is enough to demonstrate value, and a STEM extension may apply if your degree is in health informatics or a related qualifying field. Attention to compliance and billing accuracy transfers directly into this role.
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Get Access To All JobsINTRODUCTION
The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim
- Determines the validity and compensability of the claim
- Establishes reserves and authorizes payments within established reserving authority limits
- Communicates claim status with the customer, claimant and client
- Adheres to client and carrier guidelines and participates in claims review as needed
- Assists other claims professionals with more complex or problematic claims as necessary
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Excellent customer service skills
- Excellent written and verbal communication skills
- Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets
- Strong interpersonal, time management, and organizational skills
- Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year industry experience and claim handling
- Workers’ Compensation experience required
- Licensed as required jurisdictionally
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: $16.74 - $26.92 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
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.
INTRODUCTION
The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim
- Determines the validity and compensability of the claim
- Establishes reserves and authorizes payments within established reserving authority limits
- Communicates claim status with the customer, claimant and client
- Adheres to client and carrier guidelines and participates in claims review as needed
- Assists other claims professionals with more complex or problematic claims as necessary
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Excellent customer service skills
- Excellent written and verbal communication skills
- Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets
- Strong interpersonal, time management, and organizational skills
- Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year industry experience and claim handling
- Workers’ Compensation experience required
- Licensed as required jurisdictionally
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: $16.74 - $26.92 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
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.
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Get Access To All JobsTips for Finding OPT Sponsorship in Medical Claims Examiner
Highlight your healthcare billing knowledge upfront
Employers screening OPT candidates want proof you can contribute immediately. Lead your resume with specific systems you know, such as ICD-10 coding, CPT codes, or claims processing software. Concrete technical skills reduce perceived hiring risk for OPT applicants.
Target mid-size insurers and third-party administrators
Large national insurers often have rigid hiring pipelines, but mid-size TPAs and regional health plans hire more flexibly. These employers process high claim volumes and need trained examiners quickly, making them more receptive to sponsoring or extending OPT candidates.
Confirm your OPT end date before applying
Medical claims roles often have onboarding timelines of four to six weeks. If your OPT expires within 90 days of an offer, flag this early. Employers need time to evaluate H-1B visa sponsorship options before your authorization lapses mid-employment.
Frame STEM OPT eligibility if your degree qualifies
Degrees in health informatics, healthcare analytics, or biomedical informatics may qualify for the 24-month STEM extension. Employers who hesitate over a 12-month window often reconsider when they learn you can remain authorized for three years total.
Emphasize accuracy and compliance in interviews
Claims examiners handle adjudication decisions with real financial and legal consequences. Interviewers want to see that you understand HIPAA, fraud detection protocols, and denial logic. Connecting your academic background to regulatory compliance builds credibility quickly.
Get your EAD card details ready before offers move fast
Some healthcare employers finalize OPT hires within days of an interview. Have your EAD card, I-20 with OPT authorization, and DSO contact information organized before you start applying. Delays in producing documents can stall or lose an offer.
Medical Claims Examiner OPT: Frequently Asked Questions
Does a Medical Claims Examiner role qualify for OPT work authorization?
Yes, Medical Claims Examiner positions qualify for OPT as long as the work is directly related to your field of study. Degrees in health information management, healthcare administration, business, or a related field typically satisfy this requirement. You should confirm the connection with your DSO before accepting an offer to ensure your employment is properly reported in SEVIS.
Can I work as a Medical Claims Examiner remotely on OPT?
Remote work is permitted on OPT, but your DSO must report your employer's address in SEVIS, not your home address. If your employer is fully remote and has no fixed location, your DSO will typically use your home address as the work site. Keep your DSO updated if your work arrangement or employer address changes at any point during your OPT period.
Does a Medical Claims Examiner job qualify for the STEM OPT extension?
The job title itself does not determine STEM OPT eligibility. What matters is whether your degree is on the DHS STEM Designated Degree Program list. Degrees in health informatics, biomedical informatics, or healthcare analytics may qualify. If your degree qualifies, your employer must also be enrolled in E-Verify and sign a formal training plan with you before USCIS approves the extension.
How do I find Medical Claims Examiner jobs that are open to OPT students?
Many employers do not advertise OPT-friendliness in job postings, so filtering by sponsorship openness saves significant time. Migrate Mate is built specifically for this, letting you browse Medical Claims Examiner roles from employers who have hired international candidates before. Searching there narrows your list to opportunities where OPT work authorization is far less likely to be an immediate disqualifier.
What happens to my OPT status if my employer terminates my Medical Claims Examiner role?
If your employment ends before your OPT expires, you have a 60-day grace period to find a new qualifying job, transfer to a different visa status, or depart the United States. You must report the separation to your DSO promptly. Accumulating more than 90 days of unemployment during your OPT period violates the terms of your work authorization, so acting quickly matters.