Jobs at CorVel Corporation

Verifies provider, patient, and client information; requests documentation such as itemized bills, medical records, UB04s, and HCFA forms to support claims audits. Maintains production and quality standards, routes misdirected requests, protects confidential medical information, communicates issues to leadership, and may conduct outbound calls. Requires organization, analytical skills, attention to detail, independent work, and office software proficiency.

Coordinates medical care for ill or injured individuals through assessment, personalized care planning, treatment-plan evaluation, physician communication, cost containment, and resource coordination. The role provides telephonic case management, recommends medically appropriate and cost-effective care to payers, coordinates equipment and nursing services, monitors patient progress, prepares reports, and supports timely return to work. Requires an RN license, clinical experience, and case management certification or eligibility to obtain one.

Handles complex Workers’ Compensation claims, including coverage verification, claim investigation, compensability determinations, reserves, payments, return-to-work coordination, subrogation, litigation, recoveries, and settlement negotiations. Communicates with customers, claimants, attorneys, case managers, and carriers while ensuring regulatory and client compliance. Maintains claim documentation, manages action plans, supports cost containment, and contributes to claims reviews and team development.

Provides inbound and outbound customer service while scheduling ancillary healthcare appointments for claimants. Reviews and enters data, operates proprietary systems, updates case stakeholders, prepares correspondence, and resolves scheduling challenges. Maintains accuracy, urgency, production, and quality standards in a high-volume remote call-center environment.

Manages regional customer accounts, serving as a strategic liaison to drive retention, revenue growth, service excellence, contract renewals, and expansion opportunities. Builds executive client relationships, leads stewardship meetings, coordinates implementations and service delivery, resolves issues, oversees account reporting and receivables, and documents opportunities in Salesforce. Requires strong presentation, negotiation, organizational, analytical, and customer relationship skills, plus experience in account management and preferably insurance or managed care.

Identifies subrogation opportunities for workers’ compensation and property/auto claims, negotiates settlements with insurers and attorneys, sends lien notices, tracks claim status, communicates with stakeholders, researches subrogation laws, and manages a 250–300 claim queue. The role also supports inter-company arbitration and maintains client relationships while following client guidelines and participating in claim reviews.

Coordinates telehealth and X-ray appointments by reviewing medical referrals, verifying information, entering data, and submitting orders. Provides phone and email support to clients, patients, providers, employers, and injured workers while following contractual, state, client, and HIPAA requirements. The role resolves nonstandard issues, manages concurrent high-volume tasks, and maintains accurate correspondence and system records. It is a non-clinical, remote position requiring Arizona or Virginia residency, rotating holiday work, and possible overtime.

Manages the overall operation of a workers’ compensation claims office, including staff leadership, regulatory compliance, workflow, staffing, training, performance management, claims procedures, and settlement of high-value claims. Oversees operational efficiency, quality, and consistency while supporting company goals and ensuring adherence to policies and jurisdictional requirements. Requires extensive workers’ compensation administration experience, supervisory experience, and a current workers’ compensation license or certification.

Manages mid-to-complex auto and general liability claims, including bodily injury, property damage, high-exposure, and litigated files. Responsibilities include confirming coverage, investigating claims, determining compensability, setting reserves, authorizing payments, communicating claim status, following client and carrier guidelines, and collaborating on complex cases. The role requires a current adjuster’s license, substantial general and auto liability claims experience, strong analytical and communication skills, and proficiency with Microsoft Office and Excel.

Supports workers’ compensation claims staff with claim setup, file and mail processing, system note entry, payments, forms, reports, and telephone assistance for providers, claimants, and customers. Requires strong communication, organization, computer proficiency, and the ability to work independently and collaboratively. A high school diploma is required, while a college degree and six months of service-oriented office experience are preferred. This is a remote position.

Provides telephonic medical case management for ill or injured individuals. Coordinates patients, physicians, providers, employers, and payers; assesses treatment plans for medical necessity, appropriateness, and cost effectiveness; recommends care alternatives; coordinates equipment and nursing services; develops personalized care plans; and prepares timely reports.

Supervise workers’ compensation claims staff, ensuring quality, productivity, customer service, regulatory compliance, and adherence to company procedures. Provide coaching, training, performance evaluations, technical guidance, and support for complex claims issues. Assist with recruiting and onboarding, participate in client claim reviews, resolve claim-specific requests, and maintain required claims licenses or certifications.

Processes vendor payments and customer invoices for ancillary healthcare services. Reviews bills and medical notes, verifies appointment types and contracted rates, performs accurate data entry, and resolves billing questions by phone. Uses proprietary systems, bill-history research, problem-solving, and critical thinking while meeting production, quality, accuracy, and deadline expectations in a high-volume environment.

Handles complex California workers’ compensation claims, including coverage verification, compensability investigations, reserves, payments, subrogation, litigation, recoveries, settlements, and return-to-work coordination. Communicates with claimants, customers, attorneys, case managers, and carriers; maintains regulatory compliance and claim documentation; develops cost-reduction action plans; and supports claims reviews and team knowledge development.

Manages the overall operation of a liability claims office, including staff leadership, training, workflow, staffing, compliance, claims procedures, and operational improvement. Oversees review and settlement of high-value or escalated claims, ensures adherence to jurisdictional regulations and company best practices, and supports departmental goals through performance management, process improvement, and client communication.

Manages strategic customer accounts, focusing on retention, revenue growth, contract renewals, service delivery, and client satisfaction. Builds executive relationships, leads stewardship meetings, coordinates implementations across internal teams, resolves service issues, oversees account updates, and identifies opportunities to expand CorVel services. The role requires strong presentation, negotiation, organizational, analytical, and interpersonal skills, along with account management experience and familiarity with insurance or managed care.

Performs clerical support for the bill review department, including preparing and scanning medical bills, entering and validating data, applying customer-specific rules, monitoring verification queues, and communicating workload status. The role also handles mail, phone, email, and other administrative tasks. Candidates should be organized, able to prioritize concurrent tasks, solve basic problems, and work independently or collaboratively in a hybrid office environment.

Leads clinical audit teams conducting medical bill reviews and audits using medical records, itemized bills, and coding tools. Manages hiring, performance, KPIs, SLAs, reporting, compliance, process improvement, client communication, and staff development. Requires an active RN license, healthcare billing audit experience, and leadership experience. This remote role includes onsite facility visits and travel as needed.

Provides telephonic medical case management for ill or injured individuals by assessing treatment plans, coordinating care and services, communicating with providers and stakeholders, recommending cost-effective alternatives, and monitoring patient progress toward quality treatment and return to work.

Handles complex workers’ compensation claims, including coverage verification, compensability investigations, reserves, payments, litigation, subrogation, recoveries, and settlement negotiations. Coordinates return-to-work efforts, communicates with customers and claimants, files required documentation, manages action plans, and ensures compliance with state regulations and client guidelines. The role also supports claims reviews, develops team knowledge, and maintains professional customer relationships.