3 bill review analyst ii jobs found in Glen Allen

The Liability Claims Specialist manages non-complex and non-problematic Heavy Auto and/or General Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices. This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity of the claim Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE...

The Workers’ Compensation 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 Workers’ Compensation 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 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 necessary...

The Telehealth Coordinator is 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. This role gathers information from either the provider, injured worker, employer, or other related sources and   enters   information into the system in order to schedule appointments as necessary for treatment. This is a remote role. The work shift for this role is Monday to Friday: 3:00 PM - 11:00 PM EST.  ESSENTIAL FUNCTIONS   &   RESPONSIBILITIES: Review medical notes, treatment referrals, work status notes, etc. to ensure   all necessary referral orders were received Responsible for data entry and verification of details in the system for appropriate and timely order submission Provide quality telephonic and email customer service including inbound and outbound messages Receive and respond to daily emails and...