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Results based on filters ( 262 jobs found )

Claims Specialist

CorVel Corporation
Glen Allen, VA
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Job Details Description The Claims Specialist manages within company best ...
Details
Summary
About the job:
practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claims, confirms policy coverage and acknowledgment of the claim - Determines validity and compensability of the claim - Establishes reserves and authorizes payments within reserving...
Location:
Glen Allen, VA
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

CA Telephonic Case Manager II

CorVel Corporation
Folsom, CA
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Job Details Description The Telephonic Case Manager coordinates resources ...
Details
Summary
About the job:
and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family...
Location:
Folsom, CA
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
CorVel Corporation
Certifications / Licenses:
Accredited Case Manager
American Council on Exercise
Certified Disability Management Specialist
Case Management Administrator Certified
Certified Occupational Health Nurse
Certified Rehabilitation Registered Nurse
Certified Rehabilitation Counselor
Subspecialty Certification in Cardiac Medicine
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

VP, National Sales - Managed Care

CorVel Corporation
Located in Ohio
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Job Details Description The Vice President of National Sales will be ...
Details
Summary
About the job:
responsible for the generation and conversion of new business opportunities for CorVel, primarily focusing on Managed Care solutions with an emphasis on insurance carriers, self-administered programs, state insurance funds, program administrators, and TPAs. The VP will establish direct relationships with decision makers and will be responsible for the successful development and conversion of opportunities through engagement with the customer as well as internal teams. The VP will have a proven understanding of the target...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Sales Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
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 WC Senior Claims Specialist SIP

CorVel Corporation
Rancho Cucamonga, CA
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Job Details Description We are seeking a Sr. Claims Specialist for our ...
Details
Summary
About the job:
Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This position is remote. Candidates must...
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:
Adjuster License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

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

CA Senior 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

Claims Specialist

CorVel Corporation
New York
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Job Details Description The Claims Specialist manages within company best ...
Details
Summary
About the job:
practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claims, confirms policy coverage and acknowledgment of the claim - Determines validity and compensability of the claim - Establishes reserves and authorizes payments within reserving...
Location:
New York
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

Medical Only Claims Specialist

CorVel Corporation
Honolulu, HI
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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:
Honolulu, HI
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

Payment Integrity Supervisor

CorVel Corporation
Fort Worth, TX
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Job Details Description The Payment Integrity Supervisor is responsible for ...
Details
Summary
About the job:
the daily activities of payment integrity team related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests, interdepartmental quality audits and appeals. Additionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department...
Location:
Fort Worth, TX
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Six Figure Jobs (more than $100K)
From:
CorVel Corporation
Certifications / Licenses:
Associate Degree in Nursing
ICD-10 / ICD-9
American Council on Exercise
Certified Registered Nurse
Certified Coding Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Field Medical Case Manager I

CorVel Corporation
Norristown, PA
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Job Details Description CorVel Corporation is hiring a caring, ...
Details
Summary
About the job:
self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Allentown, Bloomsburg, Pottsville, Tamaqua, PA area. 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 responsible for...
Location:
Norristown, PA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
CorVel Corporation
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
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