Jobs at CorVel Corporation

Provide varied administrative support including answering calls, handling inquiries, scheduling, document organization, preparing reports and presentations, basic accounting assistance, and supporting local management on confidential tasks.

Manages lower-level, non-complex workers’ compensation claims within delegated authority and under senior supervision. Responsibilities include verifying coverage, determining compensability, setting reserves, authorizing payments, managing lost-time claims, communicating with stakeholders, following client and carrier guidelines, and assisting with complex claims. The role requires workers’ compensation licensing or a designated home license, strong communication and organizational skills, computer proficiency, and at least one year of industry experience preferred.

Handles complex workers’ compensation claims, including coverage verification, compensability investigations, reserves, payments, subrogation, litigation, recoveries, settlement negotiations, and return-to-work coordination. The role communicates with customers, claimants, attorneys, and case managers; maintains regulatory compliance and documentation; reports claims to excess carriers; and supports cost containment and claims reviews. It requires licensed claims-handling expertise, strong organization, communication, problem-solving, and knowledge of workers’ compensation administration.

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

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.

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.

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.

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.

Manage complex workers' compensation claims: investigate compensability, establish reserves, authorize payments, coordinate with case managers and attorneys, manage subrogation and litigation, negotiate settlements, report to carriers, support return-to-work and cost-containment, and maintain regulatory compliance and customer communications.

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.

Manage complex workers' compensation claims end-to-end: investigate compensability, set reserves, coordinate case management and return-to-work, handle subrogation and litigation, negotiate settlements, report to carriers, and maintain regulatory compliance while delivering strong customer service.

Manages client success for CorVel’s CareIQ ancillary healthcare service by onboarding and training clients, aligning customer requirements with operational capabilities, providing service-level reporting and insights, resolving issues, and coordinating across product, operations, sales, and account management teams. Serves as a subject-matter expert, supports implementations, maintains regulatory knowledge, and ensures an optimized customer experience.

Contribute to corporate information security by assessing designs, selecting controls, performing threat modeling and vulnerability management, supporting risk and vendor assessments, and advising engineering teams on secure solutions and governance.

Prepare, review, and submit Workers' Compensation EDI FROI and SROI filings using vendor platforms. Analyze claim data, interpret state-specific EDI implementation guides and reporting rules, resolve transaction errors/rejects, monitor compliance with deadlines, communicate with internal stakeholders, and ensure HIPAA and regulatory compliance.

Lead end-to-end product management for PBM, Ancillary Benefit Management, and specialty network offerings. Define roadmap, ensure regulatory and contractual compliance, drive profitability and client metrics, coordinate cross-functional stakeholders, streamline operations, support RFP/pricing, and launch/optimize products to align with business objectives.

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.

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

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.