Jobs at CorVel Corporation

Manage complex Workers' Compensation claims from intake through resolution: investigate compensability, set reserves, authorize payments, coordinate return-to-work, handle subrogation and litigation, communicate with claimants/customers, and ensure compliance with state regulations and client guidelines.

The Case Management Supervisor RN directs departmental operations, manages employees, oversees quality service, and handles human resources matters, ensuring compliance and effective case management strategies.

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

The Case Management Supervisor directs department operations, oversees employee performance, ensures quality service, and manages human resources-related tasks.

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 Case Management Supervisor RN oversees department operations, manages staff, ensures service quality, and handles HR matters. Requires nursing experience and may involve clinical case management duties.

Review, audit, and data-enter medical bills for multiple states and lines of business to ensure adherence to state fee schedules, customer guidelines, PPO discounts, and coding standards. Meet accuracy and productivity targets and perform related duties as assigned.

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

Perform DRG validation reviews of medical records, document findings, provide support for coding determinations, and conduct audits to ensure accurate billing.

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.

The Claims Specialist manages lower-level workers' compensation claims, ensuring validity, compensability, and communication with clients while working under supervision.

Supervise a team of workers' compensation claims examiners, ensure compliance with WC laws and regulatory reporting, provide technical/jurisdictional guidance, coach and evaluate staff, assist with hiring/onboarding, participate in client claim reviews, and recommend claim resolutions. Must maintain WC certification and Washington claims experience.

Coordinate telehealth inquiries via phone, email, fax; verify and enter medical referral orders; research escalations; provide coaching and training to assigned team; monitor workflows and recommend process improvements to ensure timely, accurate order submission and quality customer service.

Provide advanced, remote application support for CorVel proprietary systems: troubleshoot ServiceNow tickets, run and optimize SQL queries, perform post-release testing, create documentation, collaborate with stakeholders, and improve support using AI tools.

The CareIQ Scheduling Coordinator schedules healthcare appointments, provides customer service, maintains records, and ensures effective communication with stakeholders.

The Data Scientist II will design, build, and deploy machine learning models and data products, translating business problems into data-driven solutions, while collaborating with various stakeholders and ensuring reliable, production-ready outcomes.

The Claims Specialist manages non-complex workers' compensation claims, confirms policy coverage, communicates status, and assists senior claims professionals. Responsibilities include establishing reserves and authorizing payments under supervision.