Qureos Mentor

CorVel Corporation

<div>The Telephonic Case Manager coordinates resources 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&rsquo;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 members, and adjusters, while supporting the objectives of the Case Management department and of CorVel.

This is a remote role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source</li>
<li>Provide assessment, planning, implementation, and evaluation of patient's progress</li>
<li>Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
<li>Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician</li>
<li>Make medical recommendations of available treatment plans to the payer</li>
<li>Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services</li>
<li>Devise cost-effective strategies for medical care</li>
<li>Required to prepare organized reports within a specified timeframe</li>
<li>Minimum Productivity Standard is 95% per month</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Ability to make independent medical decisions and recommendations to all parties</li>
</ul><ul><li>Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers</li>
<li>Excellent written and verbal communication skills</li>
<li>Ability to meet designated deadlines</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree required, BSN preferred</li>
<li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>3 or more years of recent clinical experience, preferably in rehabilitation</li>
<li>URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire</li>
<li>Strong clinical background in orthopedics, neurology, or rehabilitation preferred</li>
<li>Strong cost containment background, such as utilization review or managed care helpful</li>
<li>Certification as a CIRS or CCM preferred</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $66,941 - $101,258

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Telephonic Case MGR II

<div>CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Macon/Warner Robbins, GA area.

Work from home, and on the road. Monday &ndash; 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 responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.

Must be a registered nurse. Must have national certification &ndash; CCM, COHN, CRRN, CDMS.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source</li>
<li>Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans</li>
</ul><ul><li>Provides assessment, planning, implementation, and evaluation of patient&rsquo;s progress</li>
<li>Evaluates patient&rsquo;s treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
</ul><ul><li>Attends doctors, other providers, home and in some cases, attorney&rsquo;s visits</li>
<li>Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy</li>
<li>Conducts home visit for initial evaluation</li>
<li>Implements care such as negotiating the delivery of durable medical equipment and nursing services</li>
<li>This role requires regular travel, dependent on the injured worker&rsquo;s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month</li>
<li>This role may require overnight travel</li>
<li>Additional duties as required</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers</li>
<li>A cost containment background, such as utilization review or managed care is helpful</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred</li>
</ul><ul><li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>Certification as a CCM, CIRS, or other Case Management certifications preferred</li>
<li>A valid driver&rsquo;s license, reliable transportation, and ability to travel to assigned locations is required</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $63,739 - $95,264

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL &ndash; Medical Case Managers:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel&rsquo;s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Medical Case Manager I

<div>CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Reno, NV.
Work from home, and on the road. Monday &ndash; 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 responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. 


ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source</li>
<li>Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans</li>
<li>Provides assessment, planning, implementation, and evaluation of patient&rsquo;s progress</li>
<li>Evaluates patient&rsquo;s treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
<li>Attends doctors, other providers, home and in some cases, attorney&rsquo;s visits</li>
<li>Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy</li>
<li>Conducts home visit for initial evaluation</li>
<li>Implements care such as negotiating the delivery of durable medical equipment and nursing services</li>
<li>This role requires regular travel, dependent on the injured worker&rsquo;s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month</li>
<li>This role may require overnight travel</li>
<li>Additional duties as required</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers</li>
<li>A cost containment background, such as utilization review or managed care is helpful</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred</li>
<li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>Certification as a CCM, CIRS, or other Case Management certifications preferred</li>
<li>A valid driver&rsquo;s license, reliable transportation, and ability to travel to assigned locations is required</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $65,436 &ndash; $98,982

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL &ndash; Medical Case Managers:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel&rsquo;s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Medical Case Manager II

<div>The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments. 


ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Maintains Q&amp;A support for the IBR Team</li>
<li>Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs</li>
<li>Collects supporting data and analyzes information to make decisions regarding accuracy of billing</li>
<li>Appropriately documents work and final conclusions in designated computer program</li>
<li>Meets department's expectations and standards</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Understanding of Itemization Review for designated clients</li>
<li>Understanding of CERIS systems and Data Base informatics</li>
<li>Understanding of HIPAA regulations</li>
<li>Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly</li>
<li>Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment</li>
<li>Strategic problem solving, analytical, and critical thinking skills</li>
<li>Effective written and verbal communication skills</li>
<li>Ability to work independently and within a team environment</li>
<li>Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Must maintain current licensure as a Registered Nurse in the state of employment</li>
<li>Must have a minimum of 5 years&rsquo; experience in Itemization Review
</li><li>Associate Degree in Nursing or higher</li>
<li>Experience in medical bill auditing preferred but not mandatory</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $65,436 &ndash; $98,982

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


About CERIS:

CERIS, a division of CorVel Corporation, a certified Great Place to Work&reg; Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Itemization Review Team Lead

<div>The CareIQ Billing Specialist completes invoicing processes for all CareIQ Ancillary Healthcare services. Utilizing proprietary systems and knowledge from training, a CareIQ Billing Specialist will complete administrative review of vendor and provider bills, determine appointment type, and then generate vendor payments and customer invoices. A CareIQ Billing Specialist operates with a high focus on accuracy and urgency to ensure that payment and invoice amounts are completed in alignment with contracted service level expectations.

This is a remote position but for continuity of business with our management team, candidate needs to reside and work in the Central or Eastern time zones. 


ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
<ul>
<li>Provides quality and friendly inbound and outbound telephonic customer service to assist customer and vendors with billing questions.</li>
<li>Completes accurate data review and entry.</li>
<li>Able to learn and operate corporate proprietary systems.</li>
<li>Complete administrative review of medical notes and bills (Bill Review or Coding experience is not necessary).</li>
<li>Determines payment and charge rates are in alignment with appointment type and contracted amounts.</li>
<li>Uses bill history research, problem solving and critical thinking skills to resolve customer questions.</li>
<li>Requires regular and consistent attendance.</li>
<li>Meets departmental production and quality performance expectations.</li>
<li>Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).</li>
<li>Additional duties as required.</li>
</ul>
KNOWLEDGE &amp; SKILLS:
<ul>
<li>Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.</li>
<li>Excellent written and verbal communication skills.</li>
<li>Ability to meet designated deadlines</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office and Proprietary Systems.</li>
<li>Strong interpersonal, time management and organizational skills.</li>
<li>Ability to maintain a professional and courteous demeanor that sets tone for complex telephonic conversations.</li>
<li>Ability to work both independently and within a team environment.</li>
</ul>
EDUCATION/EXPERIENCE:
<ul>
<li>High School diploma</li>
<li>Prior work experience in a detail oriented customer service environment</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $15.61 - $23.82 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management 


About CorVel

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

CareIQ Billing Specialist

<div>We are seeking a 4850 Sr. Claims Specialist for our 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.

We are open to remote work. Candidates must reside in California. 


ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul><li>Receives claim, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim</li>
<li>Coordinates early return-to-work efforts with the appropriate parties</li>
<li>Manages subrogation and litigation of claim as it applies</li>
<li>Manages potential claim recoveries of all types</li>
<li>Reports claims to the excess carrier when applicable</li>
<li>Communicates claim status with the customer and claimant</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Develops and maintains professional customer relationships</li>
<li>Complies with rules and regulations of applicable state</li>
<li>Additional projects and duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul><li>Excellent written and verbal communication skills</li>
<li>Ability to assist team members to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to work both independently and within a team environment</li>
<li>Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers&rsquo; Compensation</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul><li>Bachelor's degree or a combination of education and related experience</li>
<li>4-5 years of California Workers&rsquo; Compensation claims handling experience required</li>
<li>CA workers compensation adjuster license required</li>
<li>Associates in Claims or Associates in Risk Management designation preferred</li>
<li>4850 experience required</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $29.35 - $47.28 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


About CorVel
CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

CA WC Senior Claims Specialist (SIP) 4850

<div>The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; 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 &amp; RESPONSIBILITIES:
<ul>
<li>Receives claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex and non-problematic medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>State Certification as an Experienced Examiner</li>
<li>Minimum of 2 years of Oregon and/or Washington experience required</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $52,999 &ndash; $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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Claims Specialist

Join CorVel Corporation and explore 21   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.