Jobs at CorVel Corporation

Manages regional customer accounts, serving as a strategic liaison to drive retention, revenue growth, service excellence, contract renewals, and expansion opportunities. Builds executive client relationships, leads stewardship meetings, coordinates implementations and service delivery, resolves issues, oversees account reporting and receivables, and documents opportunities in Salesforce. Requires strong presentation, negotiation, organizational, analytical, and customer relationship skills, plus experience in account management and preferably insurance or managed care.

Handles complex workers’ compensation claims from investigation through resolution, including coverage verification, compensability decisions, reserves, payments, subrogation, litigation, recoveries, settlement negotiations, and return-to-work coordination. Communicates with claimants, customers, attorneys, case managers, carriers, and state agencies while ensuring regulatory compliance, accurate documentation, cost containment, and adherence to client and carrier guidelines.

Owns the Enterprise Claims liability product by analyzing performance, utilization, user feedback, and data to identify improvements. Collaborates with development, QA, support, and product teams to define requirements, prioritize enhancements, validate functionality, ensure regulatory compliance, and optimize workflows. Supports documentation, training, testing, troubleshooting, and continuous improvement initiatives while serving as a subject matter expert for liability claim management processes.

Handles complex workers’ compensation claims, including coverage verification, compensability investigations, reserves, payments, subrogation, litigation, settlements, recoveries, regulatory filings, and excess-carrier reporting. Coordinates with case managers, attorneys, customers, claimants, and other stakeholders to reduce claim costs and support return-to-work efforts. Maintains compliant documentation, customer relationships, and claim-handling standards while providing expertise to team members.

Handles complex workers’ compensation claims from intake through resolution, including coverage confirmation, compensability investigations, reserves, payments, return-to-work coordination, subrogation, litigation, recoveries, and settlement negotiations. Communicates with claimants, customers, attorneys, case managers, and carriers while maintaining regulatory compliance, claim documentation, action plans, and professional relationships. Supports claims reviews and helps team members develop claims expertise.

Manage and improve the Enterprise Claims workers' compensation product by analyzing feature performance and user feedback, ensuring regulatory compliance, defining business requirements for development, collaborating across teams, supporting QA and testing, creating documentation and training, and driving process and automation improvements to increase product accuracy and efficiency.

Manage mid-to-complex auto and general liability claims (bodily injury, property damage), focusing on large-loss transportation/trucking and litigated files. Determine coverage and compensability, investigate, set reserves, authorize payments, communicate with stakeholders, follow client/carrier guidelines, and collaborate on complex claims.

Translate workflow processes into clear business requirements; collaborate with product, operations, and engineering to drive automation, QA, and enhancements; analyze data for insights; support testing, documentation, training, and process optimization for claims and care management applications.

The Senior Corporate Paralegal prepares and manages corporate agreements, ensuring compliance while partnering with internal stakeholders to enhance contract efficiency.

Manage non-complex liability and medical-only claims under supervision: receive and validate claims, confirm coverage, set reserves, authorize payments within limits, communicate status to stakeholders, adhere to client/carrier guidelines, and escalate complex files to senior staff.

Supports multi-state leave and accommodation programs, maintains the LOA system, manages HR and Leaves inboxes, responds to employee inquiries, and coordinates communications. Provides administrative support to the VP of HR, prepares reports and presentations, assists with team events and training, and handles confidential HR matters while managing multiple priorities remotely.

Identifies subrogation opportunities for workers’ compensation and property/auto claims, negotiates settlements with insurers and attorneys, sends lien notices, tracks claim status, communicates with stakeholders, researches subrogation laws, and manages a 250–300 claim queue. The role also supports inter-company arbitration and maintains client relationships while following client guidelines and participating in claim reviews.

Develops and deploys production machine learning models and data products for enterprise use. Responsibilities include data mining, feature engineering, model evaluation, NLP and LLM/RAG solutions, API and pipeline integration, cloud-based deployment, model validation, A/B testing, documentation, and lifecycle management. The role translates business needs into scalable data science solutions and collaborates with product, engineering, and business stakeholders throughout the SDLC.

Supervise hospital bill audit nurses, ensuring accurate audits and compliance with regulations. Foster team collaboration and handle auditor inquiries while maintaining productivity standards.

The Appeals Representative analyzes appeals in accordance with policies and guidelines, communicates with providers, and ensures timely completion of appeals while adhering to industry standards.