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Results based on filters ( 244 jobs found )

Medical Case Manager II

CorVel
Columbia, SC
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CorVel Corporation is hiring a caring, self-motivated, energetic and ...
Details
Summary
About the job:
independent registered nurse to fill a Medical Case Manager position in the Columbia, SC area. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role...
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
UltimateInsuranceJobs
Certifications / Licenses:
Driver's License
American Council on Exercise
Certified in Long Term Care
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Access Assistant Specialist I

CorVel
Rancho Cucamonga, CA
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CorVel is seeking a Medical Access Assistant (Provider Relations ...
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Summary
About the job:
Specialist). The Provider Relations Specialist assists injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position includes a moderate volume of inbound calls and a high volume of outbound calls. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receive incoming calls, emails and faxes from the Medical Access Assistant line -...
Location:
Rancho Cucamonga, CA
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
UltimateInsuranceJobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Professional Review Specialist I

CorVel
Lake Mary, FL
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The Professional Review Analyst provides analysis of medical services to ...
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Summary
About the job:
determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This is a remote role. Candidate must be fully bilingual in English and Spanish. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager - Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and...
Location:
Lake Mary, FL
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
UltimateInsuranceJobs
Certifications / Licenses:
American Council on Exercise
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Liability Claims Specialist

CorVel
Downers Grove, IL
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The Senior Liability Claims Specialist manages mid to complex Auto and/or ...
Details
Summary
About the job:
General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior Liability Claims Specialist handles litigated files and works with delegated authority, adhering to company best practices. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claims, confirms policy coverage and acknowledgment of the claim - Determines validity and compensability of the claim - Investigates claims and handles Auto and/or General Liability claims -...
Location:
Downers Grove, IL
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
UltimateInsuranceJobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CA WC Senior Claims Specialist

CorVel Corporation
Rancho Cucamonga, CA
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Job Details Description The Senior Claims Specialist handles complex and ...
Details
Summary
About the job:
high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claim, confirms policy coverage and acknowledgement of the claim - Determines validity and...
Location:
Rancho Cucamonga, CA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
CorVel Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Claims Specialist - Connecticut

CorVel
Hartford, CT
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The Senior Claims Specialist handles complex and high-profile Workers' ...
Details
Summary
About the job:
Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claim, confirms policy coverage and acknowledgement of the claim - Determines validity and compensability of the claim...
Location:
Hartford, CT
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
UltimateInsuranceJobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Professional Review Specialist I

CorVel Corporation
Folsom, CA
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Job Details Description The Professional Review Specialist analyzes medical ...
Details
Summary
About the job:
services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager - Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans - Appropriately document work...
Location:
Folsom, CA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CorVel Corporation
Certifications / Licenses:
American Council on Exercise
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Assistant

CorVel Corporation
Las Vegas, NV
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Job Details Description The Claims Assistant will support the claims staff ...
Details
Summary
About the job:
in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific customer needs. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Sets up new claims - Process mail, handle files (until paperless), and input notes/diary entries in the claims system - Process payments, as needed - Process form letters, state forms and reports - Assist claims examiners with telephone calls including provider, claimant and customer calls - Additional duties as assigned KNOWLEDGE & SKILLS:...
Location:
Las Vegas, NV
Job Type:
Full-Time
Permanent
Occupation:
Secretaries and Administrative Assistants, Except Legal, Medical, and Executive
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
CorVel Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CA Senior WC Claims Specialist

CorVel Corporation
Folsom, CA
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Job Details Description The Senior Claims Specialist handles complex and ...
Details
Summary
About the job:
high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claim, confirms policy coverage and acknowledgement of the claim - Determines validity and...
Location:
Folsom, CA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
CorVel Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

WC Medical only Claims Specialist

CorVel Corporation
Folsom, CA
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Job Details Description The Medical Only Claims Specialist manages ...
Details
Summary
About the job:
non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claims, confirms policy coverage and acknowledgement of the claim - Determines the validity and compensability of the claim - Establishes reserves and authorizes payments within established reserving authority limits - Communicates claim status with the customer,...
Location:
Folsom, CA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CorVel Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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