CorVel Corporation Jobs (12)

Account Manager

CorVel Corporation Nashville, TN
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CorVel is hiring an Account Manager to join our East Coast team - this role has the option to work from home and we are currently seeking applicants in VA, DC, TN, NC, SC or GA.

The Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client;

understanding and communicating agreed upon expectations to field offices and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing / selling / implementing additional services.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Provide consultative customer services for one or more new or established accounts
  • Introduce new services independently or with assistance as needed
  • Handle local or regional accounts
  • Manage accounts with revenue in one region and a minimum revenue amount of $1m per account with a combined revenue for all accounts of over $3m.
  • Revenue growth with existing accounts
  • Accounts Receivable - Responsible for all aspects of collections in conjunction with the respective operations management
  • Client Stewardship- Responsible for conducting regular stewardship meetings and overseeing the integrity and delivery of client specific reports and information.

Must perform in a consultative role identifying trends and providing CorVel solutions to market and business challenges

Client Retention - Maintain continuous communication with customer(s) to ensure that all service expectations are identified and maintained.

Communicate and engage senior management in account status, challenges and goals. Every national account and large account will have an RVP assigned as a senior operations representative to the account

Surface issues or potential issues to appropriate members of the management and executive team proactively to remedy immediate concerns before they become issues.

Maintain an open items matrix to document all issues and resolution

  • Facilitate and coordinate internal customer set-up and external implementation
  • Coordinate and attend customer meetings. Ensure appropriate CorVel participants are engaged
  • Discuss, understand, and meet agreed upon standards as mutually determined by CorVel and customer
  • Develop / maintain account service instructions / communicate to service staff and post on the Intranet
  • Manage contract renewals / price increases; coordinate with the AE and / or management team as appropriate
  • Present information to assigned customers in an organized and persuasive fashion for contract renewals, service issue discussions, or additional product sales
  • Regular attendance on the Monthly Account Manager Call
  • Monthly account updates and all new service opportunities documented in Salesforce.com
  • Follow CorVel policies and procedures
  • Requires regular and consistent attendance
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties may be assigned

KNOWLEDGE & SKILLS :

  • Reliable professional with the ability to achieve balance between customer orientation and a results-driven approach
  • Knowledge of CorVel's services and completion of all CorVel Product Training Modules
  • Business acumen, coupled with enthusiasm and decorum
  • Excellent communication / presentation skills and ability to build relationships
  • Strong interpersonal skills and commitment to customer service
  • Able to work collaboratively and independently
  • Highly developed organizational abilities as well as analytical and time management skills
  • Must be proficient in Microsoft applications and CRM software (Salesforce)

EDUCATION & EXPERIENCE :

  • Bachelor's degree, national certification or equivalent in business or sales and marketing
  • Demonstrated experience in management or supervision
  • Training within the insurance industry, managed care or related field preferred

ABOUT CORVEL :

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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

Full-time
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Information security

CorVel Corporation Portland, OR
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This is an opportunity to work with CorVel’s tight-knit, dedicated Information Security and Privacy team to contribute to the protection of corporate digital assets and reduce business risk.

This role will partner with various lines of business, system and application engineers, and business experts to research and recommend secure solutions, assess technical designs, categorize systems, select controls, provide security governance, and have a lasting and important impact to the business.

Opportunity for remote work arrangement.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Foster information security practices and procedures across the organization
  • Research, analyze, and formulate recommendations for technologies, products, and solutions to enable business
  • Provide technical inputs, system security controls, evaluate and recommend new and emerging security products and technologies
  • Work with engineering teams to threat model technical designs and implementation of solutions
  • Act as a subject matter expert and partner with other engineers to select appropriate security controls
  • Further mature and maintain vulnerability management processes and metrics
  • Assist with a variety of risk assessments
  • Assist with vendor risk assessments, and provide customer assurance
  • Other duties as assigned

KNOWLEDGE & SKILLS :

  • Self-starter that sees projects through to completion
  • Operates well under stress and in occasional chaotic environments
  • Exemplifies humility, open-mindedness, empathy, integrity and grit
  • Committed to lifelong learning and personal development
  • Outstanding written and spoken communication skills

EDUCATION & EXPERIENCE :

  • 3 - 5 years of experience in information security
  • Specific experience with two or more of the following areas : Threat modelingSecure system design and developmentSystem security assessmentsVulnerability managementSecurity risk management
  • Experience with FIPS, NIST 800-53 / CSF, or other relevant frameworks
  • Notable cloud security experience
  • Relevant security certification preferred (CC, CompTIA Security+, CISSP, SANS, etc.)

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.

Pay Range : $68,308 $150,441

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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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

Full-time
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Customer Service Supervisor

CorVel Corporation Fort Worth, TX
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The Customer Service Supervisor will be responsible for daily operations within the Provider Relations department. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests along with appeal submissions.

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 activities while maintaining a focus on improving how we deliver service to our customers.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Ability to assist team with problem solving regarding customer complaints, or inquiries, including bill review disputes verbally and in written communication
  • Ability to review detailed provider appeals and provide both verbal and written communication that includes industry regulations along with applicable client policies
  • Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations, and assist in design strategies for implementation activities within the organization
  • Responsible for ensuring new employees are oriented to the organization, its policies, facilities, etc. Supervisors should also provide ongoing guidance to employees, often in the forms of ongoing career coaching, counseling and performance appraisal
  • Develops and maintains strong collaborative relationships with internal departments and external clients to maintain excellent lines of communication and share resources to meet business objectives
  • Monitors employee performance and identifies any training issues for employees
  • Builds customer relationships, interprets customer needs and assesses their business requirements
  • Assists with special projects as assigned by leaders such as interim or stretch roles for personal growth opportunities, collaboration, and providing support to other departments as needed
  • Standard supervisory duties such as : time approval, annual performance review

KNOWLEDGE & SKILLS :

  • Proven strong leadership skills as a performer / leader
  • Knowledge of Medicare (CMS) and Medicaid regulations, regulatory compliance, Managed Care, and medical claims processing guidelines
  • MS Word, Excel and Outlook experience, which extends beyond just their basic functionality. (i.e. pivot tables, conditional formatting, advanced formulas)

EDUCATION & EXPERIENCE :

  • 5+ years of relevant experience in a medical or insurance field, which required heavy involvement in bill review processing of claims
  • 2+ years of previous supervisory / management or project management experience a plus
  • Bachelor’s degree or higher preferred

About CERiS

CERiS, a division of CorVel Corporation, a certified Great Place to Work® 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.

Full-time
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Medical Case Manager

CorVel Corporation Indianapolis, IN
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CorVel Corporation is hiring a full-time, caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the central Indiana area.

Work from home, and on the road. Monday 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 AND RESPONSIBILITIES :

  • Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
  • Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
  • Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.
  • Provides assessment, planning, implementation and evaluation of patient’s progress.
  • Attends doctors, other providers, home and in some cases, attorney’s visits.
  • Attends hospital and / or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy.

Initial home visit for initial evaluation.

Implements care such as negotiation the delivery of durable medical equipment and nursing services.

KNOWLEDGE & EXPERIENCE :

  • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
  • Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
  • Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors / clients and coworkers.
  • A cost containment background, such as utilization review or managed care is helpful.
  • Strong interpersonal, time management and organizational skills.
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
  • Ability to work both independently and within a team environments.

EDUCATION :

  • Graduate of accredited school of nursing.
  • Current RN Licensure in state of operation.
  • Certification as a CCM, CIRS, or other Case Management certifications are preferred.
  • This position requires local, distance or otherwise regular travel via vehicle. A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.

About CorVel Medical Case Managers CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.

CorVel was founded in 1987 and has been publically 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’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

Full-time
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Medical Case Manager

CorVel Corporation Detroit, MI
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CorVel Corporation is hiring a full-time, caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position to cover mid-Michigan and the east side of Michigan area.

Work from home, and on the road!

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 AND RESPONSIBILITIES :

  • Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
  • Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
  • Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.
  • Provides assessment, planning, implementation and evaluation of patient’s progress.
  • Attends doctors, other providers, home and in some cases, attorney’s visits.
  • Attends hospital and / or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy.

Initial home visit for initial evaluation.

  • Implements care such as negotiation the delivery of durable medical equipment and nursing services.
  • This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week / month
  • This role may require overnight travel.

KNOWLEDGE & EXPERIENCE :

  • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
  • Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
  • Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors / clients and coworkers.
  • A cost containment background, such as utilization review or managed care is helpful.
  • Strong interpersonal, time management and organizational skills.
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
  • Ability to work both independently and within a team environments.

EDUCATION :

  • Graduate of accredited school of nursing.
  • Current RN Licensure in state of operation.
  • Certification as a CCM, CIRS, or other Case Management certifications are preferred.
  • A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.

About CorVel CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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 4000 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’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

Full-time
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Call Center Manager

CorVel Corporation Dallas, TX
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The Procurement Manager is responsible for leading strategic planning and call center operations in the Procurement Department : Personnel Hiring, Quality Assurance of Product, Workflow, Maintaining the tracking of and accountability of staff regarding production standards and TAT expectations.

This is a Hybrid position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Responsible for driving operations excellence : Standardization, Scalability, Effectiveness, Efficiency
  • Responsible for implementing new procedures / protocols as they can change frequently
  • Lead by example to provide guidance and mentoring to call & processing team members and direct reports
  • Responsible for quality of service provided
  • Responsible for human resources matters
  • Develop clear communication channels and direction among cross-functional teams
  • Requires regular and consistent attendance
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury Illness Prevention Program (IIPP)
  • May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
  • Adhere to HIPPA regulations, policies and procedures
  • Help to foster and encourage Corvel & CERIS company culture amongst all employees
  • Additional duties as required

KNOWLEDGE & SKILLS :

  • Must have good computer and analytical skills
  • Effective interpersonal and customer service skills
  • Effective oral, written, and communication skills
  • Highly Motivated and Self Starter
  • Good organizational skills and ability to multitask
  • Detail Oriented
  • Competency to utilize company software and ability to learn new systems as necessary

EDUCATION & EXPERIENCE :

  • Associates degree, national certification or a combination of education and relevant experience
  • 5 years’ experience in a professional office environment
  • Management or supervisory experience (1-3 years)

About CERiS

CERiS, a division of CorVel Corporation, a certified Great Place to Work® 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.

Full-time
APPLY

Account Manager

CorVel Corporation Fort Worth, TX
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JOB SUMMARY :

The Regional Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client;

understanding and communicating agreed upon expectations to field offices and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing / selling / implementing additional services.

This position is Hybrid.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES :

  • The Regional Account Manager :
  • Provides consultative customer services for one or more new or established accounts
  • Introduces new services independently or with assistance as needed
  • Handles local or regional accounts
  • Manages accounts with revenue in one region and a minimum revenue amount of $1m per account with a combined revenue for all accounts of over $3m
  • Revenue growth with existing accounts
  • Accounts Receivable - Responsible for all aspects of collections in conjunction with the respective operations management.
  • Client Stewardship- Responsible for conducting regular stewardship meetings and overseeing the integrity and delivery of client specific reports and information.

Must perform in a consultative role identifying trends and providing CorVel solutions to market and business challenges.

Client Retention - Maintain continuous communication with customer(s) to ensure that all service expectations are identified and maintained.

Communicate and engage senior management in account status, challenges and goals. Every national account and large account will have an RVP assigned as a senior operations representative to the account.

Surface issues or potential issues to appropriate members of the management and executive team proactively to remedy immediate concerns before they become issues.

Maintain an open items matrix to document all issues and resolution.

  • Facilitate and coordinate internal customer set-up and external implementation.
  • Coordinate and attend customer meetings. Ensure appropriate CorVel participants are engaged.
  • Discuss, understand, and meet agreed upon standards as mutually determined by CorVel and customer.
  • Develop / maintain account service instructions / communicate to service staff and post on the Intranet.
  • Manage contract renewals / price increases; coordinate with the AE and / or management team as appropriate.
  • Present information to assigned customers in an organized and persuasive fashion for contract renewals, service issue discussions, or additional product sales.
  • Regular attendance on the Monthly Account Manager Call.
  • Monthly account updates and all new service opportunities documented in Salesforce.com.
  • Follow CorVel policies and procedures.
  • Requires regular and consistent attendance.
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
  • Additional duties may be assigned.

KNOWLEDGE & SKILLS :

  • Reliable professional with the ability to achieve balance between customer orientation and a results-driven approach.
  • Knowledge of CorVel's services and completion of all CorVel Product Training Modules
  • Business acumen, coupled with enthusiasm and decorum
  • Excellent communication / presentation skills and ability to build relationships
  • Strong interpersonal skills and commitment to customer service.
  • Able to work collaboratively and independently.
  • Highly developed organizational abilities as well as analytical and time management skills
  • Must be proficient in Microsoft applications and CRM software (Salesforce)

EDUCATION / EXPERIENCE :

  • Bachelor's degree, national certification or equivalent in business or sales and marketing.
  • Demonstrated experience in management or supervision.
  • Training within the insurance industry, managed care or related field preferred

About CERiS

CERiS, a division of CorVel Corporation, a certified Great Place to Work® 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.

Full-time
APPLY

Customer Service Representative I

CorVel Corporation Oklahoma City, OK
APPLY

The Customer Service Representative is responsible for addressing client and / or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Answer phone calls, return phone calls
  • Answer emails from clients, providers and internal referring offices
  • Review previous history of the provider in MedCheck, Scheck and SalesCloud
  • Consult with Supervisor or other departments to clarify answers to inquiries
  • Contact provider to discuss findings at the appropriate level
  • Maintain reports and spreadsheets as needed
  • Requires punctual and consistent attendance
  • Additional duties as assigned

KNOWLEDGE & SKILLS :

  • Knowledge of Workers Compensation fee schedules and regulations
  • Effective oral, and written and communication skills
  • Good organizational skills and ability to multitask
  • Detail Oriented
  • Proficiency with Microsoft applications
  • Medical terminology and coding knowledge

EDUCATION & EXPERIENCE :

  • High school diploma or equivalent
  • Customer service experience working in the Managed Care and Benefit Administration industries

ABOUT CORVEL :

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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.

Full-time
APPLY

Account Manager

CorVel Corporation Oklahoma City, OK
APPLY

The Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client;

understanding and communicating agreed upon expectations to field offices and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing / selling / implementing additional services.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Provide consultative customer services for one or more new or established accounts
  • Introduce new services independently or with assistance as needed
  • Handle local or regional accounts
  • Manage accounts with revenue in one region and a minimum revenue amount of $1m per account with a combined revenue for all accounts of over $3m.
  • Revenue growth with existing accounts
  • Accounts Receivable - Responsible for all aspects of collections in conjunction with the respective operations management
  • Client Stewardship- Responsible for conducting regular stewardship meetings and overseeing the integrity and delivery of client specific reports and information.

Must perform in a consultative role identifying trends and providing CorVel solutions to market and business challenges

Client Retention - Maintain continuous communication with customer(s) to ensure that all service expectations are identified and maintained.

Communicate and engage senior management in account status, challenges and goals. Every national account and large account will have an RVP assigned as a senior operations representative to the account

Surface issues or potential issues to appropriate members of the management and executive team proactively to remedy immediate concerns before they become issues.

Maintain an open items matrix to document all issues and resolution

  • Facilitate and coordinate internal customer set-up and external implementation
  • Coordinate and attend customer meetings. Ensure appropriate CorVel participants are engaged
  • Discuss, understand, and meet agreed upon standards as mutually determined by CorVel and customer
  • Develop / maintain account service instructions / communicate to service staff and post on the Intranet
  • Manage contract renewals / price increases; coordinate with the AE and / or management team as appropriate
  • Present information to assigned customers in an organized and persuasive fashion for contract renewals, service issue discussions, or additional product sales
  • Regular attendance on the Monthly Account Manager Call
  • Monthly account updates and all new service opportunities documented in Salesforce.com
  • Follow CorVel policies and procedures
  • Requires regular and consistent attendance
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties may be assigned

KNOWLEDGE & SKILLS :

  • Reliable professional with the ability to achieve balance between customer orientation and a results-driven approach
  • Knowledge of CorVel's services and completion of all CorVel Product Training Modules
  • Business acumen, coupled with enthusiasm and decorum
  • Excellent communication / presentation skills and ability to build relationships
  • Strong interpersonal skills and commitment to customer service
  • Able to work collaboratively and independently
  • Highly developed organizational abilities as well as analytical and time management skills
  • Must be proficient in Microsoft applications and CRM software (Salesforce)

EDUCATION & EXPERIENCE :

  • Bachelor's degree, national certification or equivalent in business or sales and marketing
  • Demonstrated experience in management or supervision
  • Training within the insurance industry, managed care or related field preferred

ABOUT CORVEL :

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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.

Full-time
APPLY

Customer Service Representative - Bilingual

CorVel Corporation Tucson, AZ
APPLY

CorVel is looking to hire a Bi-Lingual Call Center Intake Representatives who want to make a difference to others. When someone is injured on the job, you are the first person they will speak with.

Your responsibility is to listen, gather information from either the injured worker, employer or someone close to the situation then input information into our system so that they can receive the necessary medical care.

We have a variety of both part-time and full-time shifts available between the hours of 5am to 9pm, 7 days a week. We currently have the availability for unlimited overtime, and with appropriate experience, we are open to remote work.

You also have the opportunity to grow within our organization.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Provide quality telephonic and email customer service including inbound and outbound messages
  • Receive and respond to daily emails and correspondence
  • Requires regular and consistent attendance
  • Additional duties as assigned

KNOWLEDGE & SKILLS :

  • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment
  • Excellent written and verbal communication skills
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Outlook and Excel

EDUCATION & EXPERIENCE :

  • High school diploma or equivalent
  • Customer service experience
  • Strong and consistent work history
  • Bilingual - fluent in both English and Spanish
  • Responsible for addressing client, patient and / or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions

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.

Pay Range : $12.98 - $20.00 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® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.

CorVel was founded in 1987 and has been publically 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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Machine learning

CorVel Corporation Portland, OR
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As a member of the Data Science team, you will work as part of a team to complete projects supporting business applications.

The position requires a pragmatic, engineering mindset to approach problems that could be solved with either off-the-shelf tools or in-house built solutions.

Ideal candidate has strong desire to solve complex data problems, and works well within our team and across other teams, proactively seeking out opportunities to tackle challenging problems.

Opportunity to work remotely.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

The essential functions include, but are not limited to the following :

  • Support research and analysis of complex unstructured and semi-structured data.
  • Provide innovative solutions to help improve our accuracy, efficiency, and costs.
  • Present data analysis results and trends.
  • Analyze algorithms to compute time and memory usage of different ML techniques for distributed, clustered, and cloud-based applications.
  • Performs other duties, as assigned.

KNOWLEDGE & SKILLS :

  • Intermediate to Advance Python
  • Knowledge of various supervised and unsupervised machine-learning techniques.
  • Knowledge of Classification and Clustering tasks, Natural Language Processing (NLP), and named-entity recognition (NER).
  • Experience with statistical data analysis and methods.
  • Familiar with Cloud-based ML tools such as MS AzureML and AWS SageMaker
  • Excellent written and verbal communication; demonstrated ability to provide superior service to internal and external stakeholders
  • Sense of urgency and ability to multitask in a dynamic, fast-paced environment

EDUCATION & EXPERIENCE :

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.

Pay Range : $49,359 $108,911

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® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.

CorVel was founded in 1987 and has been publically 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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Full-time
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Medical case manager

CorVel Corporation Pittsburgh, PA
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CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Pittsburgh, PA.

Work from home, and on the road.

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.

Candidates must reside in the Pittsburgh, PA area.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES :

  • Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
  • Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
  • Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.
  • Provides assessment, planning, implementation and evaluation of patient’s progress.
  • Attends doctors, other providers, home and in some cases, attorney’s visits.
  • Attends hospital and / or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy.

Initial home visit for initial evaluation.

Implements care such as negotiation the delivery of durable medical equipment and nursing services.

KNOWLEDGE & SKILLS :

  • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
  • Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
  • Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors / clients and coworkers.
  • A cost containment background, such as utilization review or managed care is helpful.
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
  • Ability to work both independently and within a team environment.

EDUCATION & EXPERIENCE :

  • Graduate of accredited school of nursing.
  • Current RN Licensure in state of operation.
  • Certification as a CCM, CIRS, or other Case Management certifications are preferred.
  • This position requires local, distance or otherwise regular travel via vehicle. A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.

About CorVel CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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’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

Full-time
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