8 account manager ii jobs found in Glen Allen

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This role is available for Hybrid or Remote work arrangements.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim...

The Claims Team Lead 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 Claims Team Lead 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 role.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises 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...

The ePPO Manager provides leadership and direction to staff, fostering professional development, accountability, and a high-performance team. The Manager is responsible for the overall operation of the ePPO Product, contributes to implementing company best practices, sets long-term goals and objectives, analyzes costs, activities, and operational performance, while ensuring alignment with the strategic objectives of the ePPO operation and of CorVel. This is a remote role.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides leadership for departmental operations, ensuring productivity, quality, and professional development goals align with organizational objectives Cultivates a high-performance team through coaching, empowerment, and regular performance evaluations, driving both individual and team success Oversees financial and operational performance, including profitability, budgeting, expense management, billing, collections Drives business development and...

The Provider Data Specialist is responsible for maintaining the accuracy of data in CorVel’s national provider database (NDB). This database contains provider demographic information that drives the National PPO lookup and plays a crucial role in the bill review process.  The is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provider Requests – Responsible for researching credentialing, NPI, specialty, licenses and certifications required prior to adding providers and contracts, as requested through the Provider Request Manager housed within MedCheck (provider add and network review requests). It is essential that the Provider Requests be processed within 24 hours for live bills Responsible for notifying PPO staff via email when items need to be escalated due to being beyond the limitations of the Provider Data Specialists knowledge, skills, ability or authority Responsible for adding and terminating providers to the PPO within 5 days of receiving via...

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals.  The position is responsible for fulfilling essential role expected to fulfill job duties when scheduled to work. This is a remote role reporting to our Glen Allen, VA office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols. Recommends appropriate provider based on state law and employer’s preferred provider network requirements. Educates caller on self-care instructions based on national telephonic triage protocols. Communicates plan of care to customer contacts and/or supervisor. Evaluates injured worker’s response to first aid recommendations within a specified timeframe. Documents clinical assessments in organized, concise format and submits written reports...

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.  This is a remote position. Candidates must reside locally to Richmond, VA.   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...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ 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 role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals.  The position is responsible for fulfilling essential role expected to fulfill job duties when scheduled to work. This is a remote role reporting to our Glen Allen, VA office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols. Recommends appropriate provider based on state law and employer’s preferred provider network requirements. Educates caller on self-care instructions based on national telephonic triage protocols. Communicates plan of care to customer contacts and/or supervisor. Evaluates injured worker’s response to first aid recommendations within a specified timeframe. Documents clinical assessments in organized, concise format and submits written reports...