The role involves researching and recommending secure technical solutions and partnering with engineering teams to threat model designs. It also focuses on maturing vulnerability management processes and conducting various risk assessments to protect corporate digital assets.
CorVel Corporation
105 Remote Job Openings at CorVel Corporation
The role involves continuously monitoring systems for security breaches and mitigating vulnerabilities to safeguard digital assets. Additionally, the analyst will develop incident response plans and provide security enhancement advice to management.
Telephonic Case Manager I - Columbia, SC
CorVel Corporation
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Full Time
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13 hours ago
CorVel Corporation
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
The Intake Specialist provides administrative customer service by receiving and entering new ancillary healthcare referrals into proprietary systems. They manage inbound and outbound communications to ensure service orders are processed accurately and urgently for claimants and providers.
Supervise daily operations and staff related to initial referral receipt for healthcare services. Focus on maximizing department productivity, quality, and timeliness while resolving customer complaints.
Certified Medical Coder I (Professional Review Specialist I)
CorVel Corporation
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Full Time
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5 days ago
CorVel Corporation
Analyze medical services and billing across various claim types to evaluate charge accuracy and medical necessity. Document final conclusions in proprietary systems and communicate specific concerns to claims examiners or managers.
The Senior Claims Specialist manages complex Workers' Compensation claims, including investigating validity, establishing reserves, and negotiating settlements. They collaborate with case managers and attorneys to reduce claim costs and ensure optimal outcomes for customers and the company.
The UR Case Manager gathers clinical information to certify medical necessity and assign appropriate lengths of stay for inpatient and outpatient treatments. They analyze data to make certification or denial decisions and communicate these issues to claims staff and stakeholders.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
Manages lower-level, non-complex workers' compensation claims including confirming coverage and determining compensability. Responsible for establishing reserves, authorizing payments, and communicating claim status to customers and clients.
CA Senior Liability Claims Specialist
CorVel Corporation
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Full Time
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11 days ago
CorVel Corporation
Manages mid to complex Auto and General Liability claims, including bodily injury and property damage. Responsibilities include investigating claims, establishing reserves, and handling litigated files to achieve optimal outcomes.
Provide administrative customer service and file management for ancillary healthcare services via inbound and outbound calls. Ensure accurate data entry, documentation review, and regular communication with case stakeholders to prevent service interruptions.
The analyst is responsible for auditing and data-entry of medical bills to ensure adherence to state fee schedules and customer guidelines. The role involves reviewing bills for multiple states and lines of business while maintaining high accuracy and keystroke speed.
Manage complex and high-profile Workers' Compensation claims by investigating validity, establishing reserves, and coordinating return-to-work efforts. Collaborate with case managers and attorneys to negotiate settlements and manage subrogation to reduce overall claim costs.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
Lead and mentor a 24/7 National Help Desk team to deliver exceptional tier-one support and operational excellence. Drive the adoption of modern technologies, specifically AI-driven solutions, to improve efficiency and customer experience.
Provides staff support to medical case managers to facilitate individualized treatment goals and return-to-work plans. Responsibilities include typing reports, transcribing dictation, organizing client files, and providing customer support.
Provide administrative customer service and file management for healthcare services via inbound and outbound calls. Ensure accurate data entry and coordinate scheduling between claimants, providers, and case managers.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Collaborates with physicians, patients, and payers to evaluate treatment appropriateness and implement medical recommendations.
CareIQ Transportation and Translation Supervisor
CorVel Corporation
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Full Time
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14 days ago
CorVel Corporation
Supervise day-to-day operations and staff to ensure the effective coordination of CareIQ healthcare services. Focus on maximizing department productivity, monitoring service levels, and resolving customer complaints to achieve excellent customer service.
Manage lower-level, non-complex workers' compensation claims and determine claim validity and compensability. Communicate claim status to customers and clients while adhering to carrier guidelines and reserving authority limits.
Manages non-complex medical-only workers' compensation claims by confirming coverage and determining compensability. Responsible for establishing reserves, authorizing payments, and communicating claim status to customers and clients.
The Claims Specialist manages low to mid-level auto and general liability claims, including bodily injury and property damage. Responsibilities include confirming policy coverage, establishing reserves, and communicating claim status to customers and clients.
The analyst is responsible for auditing and data-entry of medical bills to ensure adherence to state fee schedules and customer guidelines. They must maintain high accuracy and keystroke speeds while reviewing bills for multiple states and lines of business.
Provides telephonic first aid and treatment recommendations to injured workers using national triage protocols. Documents clinical assessments and communicates care plans to customers and supervisors.
The analyst is responsible for auditing and data-entry of medical bills to ensure adherence to state fee schedules and customer guidelines. This includes reviewing bills for multiple states and lines of business to maintain high accuracy and keystroke standards.
The Itemization Review Nurse analyzes medical facility charges on UBIB submissions to ensure billing accuracy. They document final conclusions in designated software and provide summaries of billed items.
The UR Intake Specialist handles precertification requests and manages incoming calls to support the Utilization Review and Case Management department. Responsibilities include verifying patient and provider information and entering service requests into the CareMC system.
The specialist handles bill review clerical functions, including scanning medical bills and performing data entry. They are responsible for validating incoming data and applying customer-specific rules to the Bill Review system.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
Manages mid to complex Auto and General Liability claims, including litigated files and bodily injury. Responsible for confirming coverage, establishing reserves, and communicating claim status to clients and claimants.
Provide administrative customer service and file management for healthcare services via inbound and outbound calls. Ensure accurate data entry and coordinate between claimants, providers, and case managers to prevent service interruptions.
The Intake Specialist provides administrative customer service by receiving and entering new ancillary healthcare referrals into proprietary systems. They manage inbound and outbound calls and ensure case stakeholders are updated regularly to prevent scheduling delays.
The coordinator provides administrative customer service by scheduling ancillary healthcare appointments for claimants and providers. They are responsible for managing high-volume inbound and outbound calls while ensuring accurate data entry and stakeholder updates.
Manage lower-level, non-complex workers' compensation claims by determining validity, establishing reserves, and authorizing payments. Communicate claim status to customers, claimants, and clients while adhering to carrier guidelines.
Identify subrogation potential for workers' compensation and property/auto claims and negotiate settlements with insurance carriers and attorneys. Manage a queue of 250-300 claims while maintaining professional relationships with stakeholders and adhering to client guidelines.
Supervise a team of Workers' Compensation claims staff to ensure quality, productivity, and compliance with regulatory requirements. Provide technical guidance on complex claims and act as a liaison for clients and employees regarding claim resolutions.
Identify subrogation potential and handle recovery for Workers Compensation and Property/Auto damage. Negotiate settlements with insurance carriers and attorneys while maintaining professional stakeholder relationships.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Evaluates treatment appropriateness and communicates with physicians, patients, and adjusters to recommend alternative care options.
The Provider Management Analyst verifies provider and patient information to audit claims and request necessary medical documentation. They are responsible for maintaining production standards and ensuring the strict confidentiality of PHI and PII.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
Provide administrative customer service to claimants and providers via inbound and outbound telephonic inquiries. Focus on accuracy, professionalism, and first call resolution while entering data into internal systems.
The analyst is responsible for conducting pre- and post-pay claim audits based on client policies and CMS guidelines. This includes reviewing itemized bills and DRG validations while providing professional written communication for audits and appeals.
Manages mid to complex Auto and General Liability claims, including bodily injury and property damage. Responsibilities include investigating claims, establishing reserves, and handling litigated files to achieve optimal outcomes.
Senior New England Claims Specialist
CorVel Corporation
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Full Time
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a month ago
CorVel Corporation
Manage complex and high-profile Workers' Compensation claims by investigating validity, establishing reserves, and coordinating return-to-work efforts. Collaborate with case managers and attorneys to negotiate settlements and manage subrogation to reduce overall claim costs.
The representative handles client and provider inquiries via phone, email, and written correspondence. They are responsible for reviewing provider history and maintaining reports while adhering to contractual and state guidelines.
Manage lower-level, non-complex workers' compensation claims by determining validity, establishing reserves, and authorizing payments. Communicate claim status to customers, claimants, and clients while adhering to carrier guidelines.
Manages non-complex medical-only workers' compensation claims by confirming coverage and determining compensability. Responsibilities include establishing reserves, authorizing payments, and communicating claim status to customers and clients.
Senior Corporate Paralegal - Contracts
CorVel Corporation
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Full Time
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a month ago
CorVel Corporation
The Senior Corporate Paralegal prepares, reviews, and negotiates a high volume of customer-facing and corporate agreements. They partner with internal stakeholders to manage the contract lifecycle and drive process efficiency through standardized templates and workflows.
Directs the day-to-day operations of a designated department, overseeing human resources, customer service, and clinical case management activities. Responsible for ensuring quality of service and managing reports, invoices, and limited sales activities.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
Customer Service Representative I - Workers' Compensation Call Center
CorVel Corporation
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Full Time
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2 months ago
CorVel Corporation
Manage inbound and outbound calls to support the Workers' Compensation department and assist claim adjusters. Document interactions and provide accurate claim information to claimants and internal teams.
Coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and return to work. Communicates with physicians, patients, and adjusters to evaluate treatment appropriateness and recommend alternative care options.
Senior Liability Claims Specialist Floater
CorVel Corporation
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Full Time
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2 months ago
CorVel Corporation
Provide temporary claims handling coverage for various clients, focusing on litigated Auto and General Liability files. Responsibilities include confirming coverage, determining liability, establishing reserves, and communicating status to stakeholders.
The Utilization Review Nurse evaluates clinical information for inpatient and outpatient admissions to certify medical necessity and determine appropriate lengths of stay. They also communicate with stakeholders, document all review activities, and ensure compliance with safety and regulatory standards.
The Medical Case Manager facilitates the recovery of injured workers by coordinating care between patients, families, and medical providers. They are responsible for assessing treatment plans for medical necessity and cost-effectiveness while conducting regular in-person visits.
The Liability Claims Specialist manages non-complex heavy auto and general liability claims, including litigated files, under the supervision of a senior professional. They are responsible for confirming coverage, determining compensability, establishing reserves, and maintaining clear communication with all involved parties.
The Triage Nurse provides telephonic first aid and treatment recommendations to injured workers based on national standards of care. They are responsible for documenting clinical assessments, educating callers on self-care, and coordinating care plans with relevant stakeholders.
The Medical Case Manager facilitates the recovery of injured workers by coordinating care between patients, physicians, and employers. Responsibilities include conducting in-person and telephonic assessments, evaluating treatment plans for medical necessity, and managing local travel to provider and home visits.
The QA Engineer will plan, automate, and execute testing activities for proprietary software while leveraging AI tools to improve test coverage. They will collaborate with engineering and business teams to validate functional integrity and resolve defects within a fast-paced environment.
The Claims Specialist manages non-complex workers' compensation claims by determining validity, establishing reserves, and authorizing payments. They also communicate claim status to customers and clients while adhering to company and carrier guidelines.
The Claims Specialist manages non-complex workers' compensation claims by determining validity, establishing reserves, and authorizing payments. They also communicate claim status to customers and clients while adhering to established guidelines.
The Account Manager is responsible for managing client relationships, driving revenue growth, and ensuring high levels of customer satisfaction through consultative service. They oversee account stewardship, handle collections, and coordinate the implementation of new services while maintaining regular communication with stakeholders.
Customer Service Representative I - Bilingual (Spanish)
CorVel Corporation
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Full Time
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2 months ago
CorVel Corporation
The representative is responsible for addressing client and provider inquiries via various communication channels while adhering to contractual and state guidelines. They must also maintain accurate reports and consult with supervisors to clarify information as needed.
Customer Service Representative I - Bilingual (Spanish)
CorVel Corporation
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Full Time
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2 months ago
CorVel Corporation
The representative is responsible for addressing client and provider inquiries via email, phone, and written correspondence. They must maintain accurate reports and consult with supervisors to ensure adherence to contractual and state guidelines.
The Field Case Manager provides in-person and telephonic medical case management to injured workers to facilitate their recovery and ensure appropriate care. They collaborate with patients, families, and medical providers to develop effective treatment plans while managing cost-effectiveness and local travel requirements.
Utilization Review Case Management Supervisor
CorVel Corporation
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Full Time
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2 months ago
CorVel Corporation
The Case Management Supervisor directs daily operations, manages human resources, and ensures quality service for their department. They may also oversee clinical activities, perform reporting reviews, and engage in limited marketing or sales tasks.
WC Disability Claims Specialist I - NY Pension PPD
CorVel Corporation
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Full Time
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2 months ago
CorVel Corporation
The specialist manages workers' compensation claims from receipt to closure, ensuring timely payments and adherence to company best practices. They are responsible for investigating claims, determining compensability, and pursuing settlement opportunities while maintaining clear communication with all stakeholders.
Design, build, and deploy scalable machine learning models and data products to support enterprise initiatives. Collaborate with engineering and product teams to integrate these solutions into production environments using cloud platforms.
The Senior Claims Specialist manages complex Workers' Compensation claims by investigating validity, establishing reserves, and coordinating return-to-work efforts. They also handle subrogation, litigation, and maintain professional relationships with customers and claimants.
The Senior Claims Specialist manages complex Workers' Compensation claims, including determining compensability, establishing reserves, and negotiating settlements. They collaborate with case managers and attorneys to develop action plans that reduce claim costs and ensure positive outcomes.
The Senior Claims Specialist manages complex Workers' Compensation claims by determining validity, establishing reserves, and coordinating return-to-work efforts. They also handle subrogation, litigation, and maintain professional relationships with customers and claimants.
The Medical Case Manager facilitates the recovery of injured workers by coordinating care between patients, families, physicians, and employers. Responsibilities include conducting in-person and telephonic assessments, evaluating treatment plans for medical necessity, and attending medical or legal appointments.
The Claims Supervisor manages a team of workers' compensation staff to ensure quality, productivity, and regulatory compliance. They also assist with recruitment, training, and providing technical guidance on complex claims and litigation.
The Float Claims Specialist manages lower-level, non-complex workers’ compensation claims under the supervision of a senior claims professional. Responsibilities include confirming policy coverage, determining claim validity, establishing reserves, and communicating claim status.
The Medical Only Claims Specialist manages non-complex medical only claims and minor lost-time workers’ compensation claims under close supervision. They communicate claim status with customers, claimants, and clients while adhering to guidelines and assisting with more complex claims as needed.
The Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, aiming for 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 all relevant parties.
The ServiceNow Developer is responsible for developing, configuring, troubleshooting, and implementing baseline and custom applications to augment the ServiceNow platform. This role also involves leading development projects, maintaining platform stability, and collaborating with stakeholders to devise innovative solutions.
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 treatment plans for appropriateness and medical necessity, attending provider visits, and implementing care strategies like negotiating equipment delivery.
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 Senior Claims Indemnity Specialist handles complex and high-profile Workers' Compensation claims, working with case managers and attorneys to manage subrogation, negotiate settlements, and ensure the best possible claim outcome while meeting customer service expectations. Essential functions include receiving claims, confirming coverage, determining compensability through investigation, establishing reserves, authorizing payments, developing action plans, coordinating return-to-work efforts, and reporting claims to excess carriers when applicable.
The Care Advocate Nurse oversees initiatives for assessing injury severity, reviewing medical data, validating information, and evaluating prescribed treatment for work-related injuries. This role functions as a nurse consultant supporting the Claims Management department by initiating contact with injured workers, employers, and providers to secure treatment plans and return-to-work status.
The Director of Corporate Development will be responsible for designing and leading the acquisition strategy, focusing on identifying, evaluating, and executing deals to expand technology capabilities and strengthen market position. Key duties include developing the M&A roadmap, leading end-to-end transaction processes, and partnering on post-acquisition integration and synergy realization.
The Professional Review Analyst evaluates the accuracy of charges and the medical necessity of care provided by analyzing medical services and billing across various claim types. Essential functions include identifying review necessity, communicating concerns, collecting and analyzing supporting data to make billing and care appropriateness decisions, and documenting conclusions.
The role involves developing and maintaining complex software systems, requiring the acquisition of extensive business and system knowledge to diagnose and resolve intricate problems. Responsibilities also include performing requirements analysis, design, peer reviews, documentation, and providing reliable effort estimates and risk identification.
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.
The Medical Only Claims Specialist manages non-complex, non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision. Responsibilities include receiving claims, confirming coverage, determining compensability, establishing reserves, authorizing payments, and communicating claim status to relevant parties.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, family members, and adjusters.
Senior Claims Specialist - West Virginia
CorVel Corporation
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Full Time
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3 months ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves while authorizing payments within limits. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, managing subrogation and litigation, and ensuring adherence to client and carrier guidelines.
CA WC Senior Claims Specialist (Floater)
CorVel Corporation
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Full Time
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3 months ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, establishing reserves, and authorizing payments within authority limits. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, managing subrogation and litigation, and communicating claim status to customers and claimants.
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.
CA WC Senior Claims Specialist (SIP, 4850)
CorVel Corporation
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Full Time
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3 months ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves and authorizing payments. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, and managing subrogation and potential recoveries.
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 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 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.
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 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 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 Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves. This role involves developing action plans with case managers, coordinating return-to-work efforts, managing subrogation and litigation, and ensuring adherence to client and carrier guidelines.
The Business Analyst translates workflow processes into clear business requirements and acts as a liaison between stakeholders and development teams to drive automation, quality control, and application enhancements. Key duties involve collaborating on product projects, analyzing data for insights, participating in quality assurance, and developing comprehensive documentation and training materials.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, families, and adjusters.
This role serves as the technical claims expert, auditing compliance with handling standards across areas like coverage analysis, investigation, valuation, and reserving. The position also involves interpreting trends to deliver operational reporting and participating in the development and presentation of training sessions.
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 treatment plans for appropriateness and medical necessity, attending provider visits, and developing long-term care strategies.
The Professional Review Nurse analyzes medical services to determine the appropriateness of charges on medical bills and reviews medical reports to assess the quality of medical care provided. Key duties involve identifying review necessity, collecting and analyzing data, and using clinical expertise to detect inappropriate billing practices and errors.
The Claims Training Specialist develops curricula to ensure adherence to best practices, improves quality metrics, and equips the claims workforce to meet client requirements. Responsibilities include conducting classroom, virtual, and field training, developing materials, and monitoring new hires.
