Medical Claims Manager Jobs (NOW HIRING)

The Claims Manager is responsible for the overall operation of a designated office.  The Claims Manager participates in formulating and administering company best practices as well as developing long-term goals and objectives, analyzing costs, activities and operations, supporting the goals of the Claims Department and CorVel. 

 This is a hybrid role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Represents the company in a professional manner to both internal and external customers and clients
• Directs the performance and development of the employees in their department
• Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements
• Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations
• Utilizes jurisdictional expertise and knowledge of regulatory rules, statutes and procedures governing these jurisdictions to ensure compliance
• Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies
• Develops and oversees the implementation of common claim practices and procedures
• Directs and controls the review and settlement of high dollar or potential high dollar claims, as well as any claims that are beyond the authority of subordinate claims personnel
• Promotes operational efficiency, quality, and consistency by continuously improving processes, people and systems
• Ensures compliance with CorVel’s policies and procedures
• Ability to travel overnight and attend meetings
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Excellent written and verbal communication skills necessary for customer contact, negotiation, presentations, project management and personnel management
• Effective quantitative, analytical and interpretive skills
• Excellent leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork
• Ability to function effectively under time constraints, consistently meet deadlines and handle multiple tasks in a demanding work environment
• Ability to remain poised in stressful situations and communicate diplomatically via various communication channels
• Computer proficiency and technical aptitude with the ability to utilize common computer applications
• Strong interpersonal, time management, project management, and organizational skills
• Maintain a high level of professionalism
• Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation

EDUCATION & EXPERIENCE:

• Bachelor's degree or a combination of education and equivalent industry-related experience, with a record of steady advancement in Workers’ Compensation claims administration
• Minimum of 6 years’ comprehensive workers’ compensation administration experience
• Minimum of 2 years' recent supervisory or management experience
• Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
• Self-Insured Certificate preferred

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: $87,190 - $134,613

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® 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.

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