The RTW Coordinator facilitates safe, timely, and appropriate return-to-work outcomes for injured employees by coordinating activities with clients, employees, and healthcare providers to identify RTW potential. Responsibilities include actively working with physicians to clarify medical restrictions and coordinating job function modifications with client locations.
Remote Jobs & Work From Home Opportunities (202,307)
Senior Claims Specialist - New England
CorVel Corporation
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Full Time
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11 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims, ensuring adherence to company standards, coordinating with case managers and attorneys, and handling subrogation and settlement negotiations. Responsibilities include confirming coverage, determining compensability, establishing reserves, authorizing payments, and developing action plans to reduce claim costs.
The Medical Only Claims Specialist manages non-complex, medical-only workers’ compensation claims under close supervision, supporting departmental goals. Key duties include receiving claims, confirming coverage, determining compensability, establishing reserves, and communicating claim status to all relevant parties.
The Advanced Practitioner will deliver personalized, compassionate medical care, primarily to individuals with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include documenting patient records, coordinating care with other providers, and delivering evidence-based care to reduce hospitalizations and maximize quality of life.
The Advanced Practitioner will deliver personalized, compassionate medical care, primarily to patients with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include coordinating care with other providers, maintaining accurate records, and delivering timely care to reduce hospitalizations and maximize patient quality of life.
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The manager is responsible for driving business results by achieving revenue goals, developing regional sales plans, and promoting the company's value proposition through active prospecting and customer engagement. This includes utilizing CRM tools, submitting required reporting, and providing accurate 12-month sales forecasts.
Online Facilitator - OSH
Eastern Kentucky University
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Full Time
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11 Weeks Ago
Eastern Kentucky University
The Online Course Facilitator supports the delivery of high-enrolled online courses by fostering regular and substantive interaction with assigned students under the direction of the Instructor of Record (IOR). This role also involves providing timely and meaningful assessment of course assignments as directed by the IOR and maintaining consistent communication with the IOR.
Online Course Facilitator - MS-SSEM
Eastern Kentucky University
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Full Time
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11 Weeks Ago
Eastern Kentucky University
The Online Course Facilitator supports the delivery of high-enrolled online courses by fostering regular and substantive interaction with assigned students under the direction of the Instructor of Record (IOR). Responsibilities include providing timely and meaningful assessment of course assignments and maintaining consistent communication and collaboration with the IOR.
The Indemnity Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, aiming for the best possible outcome under senior supervision. Essential functions include receiving claims, confirming coverage, determining validity, establishing reserves, authorizing payments, and communicating claim status to relevant parties.
The analyst will provide front-line technical support for proprietary government software applications via phone, email, and remote access, focusing on timely issue resolution. Key duties include building client relationships, troubleshooting application problems, documenting issues, and deploying software updates or training new clients.
The Quality Assurance Nurse develops, implements, and provides ongoing quality assurance calibration of processes and case management mentoring at the operational level. Responsibilities include educating operations staff with measurement tools, providing national account and regulatory quality oversight, and ensuring adherence to company standards.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.
The specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, ensuring the best possible outcome under senior supervision. Key duties include receiving claims, confirming coverage, determining validity, establishing reserves, authorizing payments, and communicating claim status to relevant parties.
Auto and General Liability Claims Specialist
CorVel Corporation
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Full Time
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11 Weeks Ago
CorVel Corporation
The specialist will manage low to mid-level complex auto and general liability claims, including bodily injury and property damage, while confirming policy coverage and establishing reserves. Responsibilities also include communicating claim status to all relevant parties and adhering to client and carrier guidelines.
Auto and General Liability Claims Specialist
CorVel Corporation
·
Full Time
·
11 Weeks Ago
CorVel Corporation
The specialist will manage low to mid-level complex auto and general liability claims, including bodily injury and property damage, focusing on achieving optimal outcomes. Essential functions include receiving claims, confirming coverage, investigating, establishing reserves, authorizing payments, and communicating claim status to all relevant parties.
Customer Service Representative I - Workers' Compensation Call Center
CorVel Corporation
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Full Time
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11 Weeks Ago
CorVel Corporation
The Customer Service Representative manages inbound and outbound calls for the Workers’ Compensation department, providing service to claimants and internal teams. Responsibilities include reviewing claim history, clarifying details with adjusters, resolving inquiries, and accurately documenting all interactions.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders like physicians and employers, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and cost-effectiveness. Responsibilities also include attending provider visits, facility discharge planning, conducting home evaluations, and negotiating care implementation such as durable medical equipment.
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The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness, medical necessity, and cost-effectiveness, often requiring significant local travel.
The Account Manager is responsible for executive-level customer interaction, acting as a client extension to understand and communicate expectations, and increasing market share by delivering service that meets or exceeds customer goals. Key duties include managing accounts with significant revenue thresholds, conducting client stewardship, handling collections, and driving revenue growth with existing accounts.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while discussing and evaluating treatment plans for appropriateness and cost-effectiveness.
The Billing Specialist is responsible for completing invoicing processes for all Ancillary Healthcare services, which involves administrative review of vendor and provider bills to determine appointment types. This role also generates vendor payments and customer invoices while maintaining a high focus on accuracy and urgency to meet service level expectations.
The supervisor is responsible for overseeing the daily operations of the claims staff, ensuring adherence to quality, productivity, and customer service standards while supporting departmental goals. This role involves assisting management with staffing functions and providing technical guidance on complex claims, investigation, and litigation issues.
The Team Lead manages and directs the daily activities of the support team, including scheduling standups, managing calendars, approving PTO, and ensuring adequate queue coverage. This role involves developing annual goals, conducting quarterly coaching sessions, and communicating team progress to Support Management.
The Account Manager serves as an executive-level customer contact, responsible for understanding expectations, communicating them to field offices, and increasing market share through excellent service and introducing additional services. Key duties include providing consultative services, managing revenue growth for accounts over $1M each, handling collections, and conducting regular client stewardship meetings.
The HRIS Manager will serve as the functional and strategic lead for Human Resources Information Systems, overseeing system operations, reporting, and data quality while leading and mentoring a small HRIS team. This role involves acting as the primary contact for external UKG resources and leading HRIS-related projects from requirements through implementation.
The Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority to achieve the best possible outcome under direct supervision. Responsibilities include receiving claims, confirming coverage, determining validity, establishing reserves, authorizing payments, and communicating claim status to relevant parties.
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The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders like physicians and employers, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and cost-effectiveness. Responsibilities also include attending provider visits, discharge planning conferences, conducting home visits, and negotiating the delivery of necessary medical equipment and services.
This role involves managing the Professional Services Department, including assigning implementation work orders, overseeing staff performance, reviewing work, and providing guidance to implementation consultants. The Associate Director will also be responsible for developing training materials, resolving client issues, and ensuring overall client satisfaction.
The Technical Sales Manager will act as a trusted technical advisor, matching customer needs with existing products or recommending alternatives to drive growth and success. Key duties involve leading foundry testing, supporting customer audits, participating in specification negotiations, and representing the company at industry events.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.
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