Pharmacy Claims Remote Jobs in Riverside, CA (NOW HIRING)

The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel.

This is a remote work arrangement.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Supervises WC claims staff in their day-to-day operations
• Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions
• Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements
• Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval)
• Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions
• Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests
• Participate in customer claim reviews and presentations
• Ability to travel overnight and attend meetings if required
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Excellent written and verbal communication skills
• Ability to assist team members to develop knowledge and understanding of claims practice
• Effective quantitative, analytical and interpretive skills
• Strong leadership, management and motivational skills
• Demonstrated, strong customer service skills
• Ability to maintain composure under pressure and communicate diplomatically across various channels, including telephone, email, and written correspondence
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to work both independently and within a team environment
• 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 related experience
• Demonstrated public speaking skills
• Minimum of 5 years’ claims handling experience
• Knowledge of Workers’ Compensation required
• Current license or certification in Workers’ Compensation claims must be maintained throughout employment with CorVel
• State Certification or license as an experienced claims adjuster

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: $73,345 - $113,247

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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