Jobs at CorVel Corporation

Manage lower-level, non-complex New York workers' compensation claims within delegated authority: confirm coverage, determine compensability, set reserves, authorize payments, communicate with stakeholders, and assist senior claims professionals on complex matters.

Support claims staff by setting up new workers' compensation claims, processing mail/files/payments and forms, entering notes/diaries into the claims system, assisting examiners with phone calls, and performing other administrative duties as assigned.

Perform clerical bill review tasks for the bill review department, including mail handling, prepping and scanning medical bills, data entry, verifying data against customer rules, and supporting phone and email inquiries. Maintain communication with supervisors about queue status and assist with additional clerical duties as assigned.

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

The Account Manager manages client relationships, ensures service quality, drives account revenue growth, conducts meetings, and leads service discussions to meet customer expectations.

Designs and delivers classroom, virtual, and field training; develops curricula, SOPs, job aids, and train-the-trainer programs; administers LMS; monitors onboarding and competency; measures learning outcomes; maintains version-controlled training documentation and aligns content with business processes.

Verify provider, patient, and client information and requested documentation for claims audits (itemized bills, medical records, UB04/HCFA). Ensure data accuracy, maintain production and quality standards, protect PHI/PII, perform outbound calls, forward misdirected requests, and communicate issues to leadership.

Perform data analysis to identify bottlenecks and optimization opportunities using SQL, statistical methods, Power BI, Excel, and Disco. Collect and validate data from internal warehouses, document workflows, lead analytics projects, manage progress in Azure DevOps, and communicate findings to stakeholders with actionable reports.

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.

Supervise a team of workers' compensation claims staff, ensuring quality, productivity, compliance with WC laws, and regulatory reporting. Provide training, coaching, jurisdictional and technical guidance on complex claims, support recruitment and onboarding, liaise with clients on claim resolutions, participate in claim reviews and presentations, and travel overnight for meetings as required.

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 including bodily injury and property damage. Handle litigated files, investigate claims, set reserves, authorize payments, communicate with stakeholders, and follow client/carrier guidelines to achieve optimal outcomes.

Manage lower-level, non-complex workers' compensation claims under supervision: intake, coverage confirmation, compensability determination, reserving, authorizing payments within limits, client and claimant communication, and assist with more complex claims or projects as assigned.

Supervise a team of workers' compensation claims staff to meet quality, productivity, and regulatory requirements. Provide training, coaching, jurisdictional guidance, assist with hiring/onboarding, conduct performance evaluations, liaise with clients on claim resolutions, participate in claim reviews/presentations, and maintain required state licenses/certifications.

Manage lower-level workers' compensation claims within delegated authority: validate claims, determine compensability, establish reserves, authorize payments, communicate with customers/claimants/clients, and support senior adjusters on more complex claims while adhering to client and company guidelines and safety programs.

Manage lower-level, non-complex workers' compensation claims within delegated authority: confirm coverage, determine compensability, set reserves, authorize payments, communicate claim status, follow client/carrier guidelines, and assist senior claims professionals.

Manage complex Workers' Compensation claims from intake through resolution: investigate compensability, set reserves, coordinate case management and return-to-work, handle subrogation and litigation, negotiate settlements, report to carriers, and maintain client and regulatory compliance.

Mid-level pricing analyst responsible for developing strategic pricing models, conducting advanced market and competitive analyses, designing price tests, and supporting revenue optimization for workers' compensation products. Partners with sales, product, legal, and account teams to inform RFPs, renewals, and product launches; builds dashboards, automations, and mentors junior analysts while ensuring regulatory compliance.

Support claims staff by setting up and administering workers' compensation claims, processing mail and payments, maintaining files and diary entries in the claims system, preparing forms and reports, and assisting examiners with telephone communications.

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.