Jobs at CorVel Corporation

Respond to providers via phone and email about bill review questions, interpret workers' compensation guidelines and client contracts, navigate bill review systems to retrieve information, explain fee schedules, contracted rates and carve-outs, document bill review errors to improve trends, and follow company standards. May transition to a Knowledge Center Representative role handling first-call resolution and data entry into CareMC.

Provide remote telephonic medical case management: assess patients, develop cost-effective care plans, coordinate with physicians and providers, recommend alternative treatments, arrange durable medical equipment and services, prepare timely reports, and meet productivity targets while supporting claims and return-to-work objectives.

Provide telephonic medical case management by assessing patients, developing cost-effective personalized care plans, coordinating with physicians and providers, recommending alternative treatments, arranging durable medical equipment and nursing services, preparing timely reports, and supporting return-to-work objectives while meeting productivity standards.

Perform bill review clerical duties including mail prep, scanning, data entry and validation of medical bills, apply customer-specific rules, communicate status with supervisor, and assist the bill review team with phone and email tasks.

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.

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.

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.

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.

Draft, review, negotiate, and manage commercial agreements; support contract intake, execution, and tracking; identify and mitigate contractual risks; conduct legal research; maintain templates and playbooks; assist with compliance, dispute resolution, governance, and diligence activities.

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.

Provide administrative support for workers' compensation claims: set up new claims, process mail/files/payments, enter notes and diary entries, prepare forms and reports, and assist claims examiners with telephone calls and other assigned duties. Onsite role.

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.

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 complex Workers' Compensation claims from intake through resolution, including investigation, reserving, payments, subrogation, litigation coordination, return-to-work, and customer communication while ensuring compliance with state regulations and client guidelines.

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.

Provide quality assurance and mentorship for case management operations, develop and implement QA processes and reporting tools, oversee URAC and regulatory compliance, train and onboard case management leadership, run management reports and peer reviews, identify trends and improvement plans, collaborate with field operations, and travel up to 50% to support consistent service delivery.

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.