CorVel Corporation
Jobs at CorVel Corporation
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Insurance
Responsible for auditing medical bills for compliance with state fee schedules and guidelines, while performing data entry and maintaining accuracy.
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The Senior Claims Specialist handles complex Workers' Compensation claims, ensuring compliance and optimal outcomes while managing interactions with customers, case managers, and attorneys.
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Manage mid-to-complex auto and general liability claims (bodily injury and property damage). Investigate claims, determine coverage and compensability, establish reserves, authorize payments within limits, handle litigated files, communicate with customers/clients/claimants, and follow client/carrier guidelines while collaborating with team and delegated authorities to achieve optimal outcomes.
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The Junior Financial Analyst supports pricing, accounting, and financial projects, assisting with budgeting and variance analysis and collaborating with teams to analyze financial data and reports.
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The Financial Analyst II conducts financial analysis, develops budgets, prepares reports, and collaborates with teams to support strategic planning and decision-making.
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Manage non-complex California workers' compensation claims within delegated authority: validate claims, confirm coverage, establish reserves, authorize payments, communicate status to stakeholders, adhere to client/carrier guidelines, assist on complex claims, and comply with safety programs. Role supports senior claims professionals and handles future medical claims remotely while maintaining required California certifications.
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The Senior Corporate Paralegal prepares and manages corporate agreements, ensuring compliance while partnering with internal stakeholders to enhance contract efficiency.
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The Data Science Manager is responsible for leading a team to build and deploy machine learning models and AI solutions, collaborating with stakeholders, and managing data products from conception to production.
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The Senior Liability Claims Specialist manages complex Auto and General Liability claims, investigates claims, and ensures compliance with company practices while communicating with clients and claimants.
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The Data Scientist II will design, build, and deploy machine learning models and data products, translating business problems into data-driven solutions, while collaborating with various stakeholders and ensuring reliable, production-ready outcomes.
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The Senior Claims Specialist manages complex Workers' Compensation claims, collaborates with case managers, negotiates settlements, and ensures compliance with company and legal standards.
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The Utilization Review Nurse collects and analyzes clinical data for treatment certifications, communicates with stakeholders, and documents findings in a remote setting.
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Review, audit, and data-enter medical bills for multiple states and lines of business to ensure adherence to state fee schedules, customer guidelines, PPO discounts, and coding standards. Meet accuracy and productivity targets and perform related duties as assigned.
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The Account Manager II oversees customer relationships, manages account service delivery, drives revenue growth, and ensures client satisfaction through consultative services and regular communication with clients and internal teams.
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Supervise hospital bill audit nurses, ensuring accurate audits and compliance with regulations. Foster team collaboration and handle auditor inquiries while maintaining productivity standards.
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Perform DRG validation reviews of medical records, document findings, provide support for coding determinations, and conduct audits to ensure accurate billing.
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The Appeals Representative analyzes appeals in accordance with policies and guidelines, communicates with providers, and ensures timely completion of appeals while adhering to industry standards.
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The Claims Specialist manages lower-level workers' compensation claims, ensuring validity, compensability, and communication with clients while working under supervision.
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The Director of Corporate Development is responsible for designing and leading acquisition strategies, conducting market research, managing deals, and ensuring successful integration of acquired firms to strengthen market position.
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The CareIQ Scheduling Coordinator schedules healthcare appointments, provides customer service, maintains records, and ensures effective communication with stakeholders.
