2 client coordinator jobs found in Lawrenceville, GA

CorVel is seeking a dynamic and experienced Special Investigation Director to lead our Special Investigations Unit (SIU). This role is critical in safeguarding the integrity of our claims and managed care operations while ensuring compliance with regulatory standards. The ideal candidate will combine investigative expertise with strategic leadership to enhance CorVel’s market image and deliver measurable results. This is a remote role.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Education & Training: Develop and deliver SIU training programs for CorVel claims and managed care personnel to ensure awareness of fraud indicators and compliance requirements. Data Mining & Analysis: Utilize ISO and other data sources to identify red flags and determine when further investigation is warranted. Vendor Audits: Review and analyze audit findings from strategic vendors to ensure adherence to contractual and regulatory obligations. Regulatory & Carrier...

The Senior Claims Specialist - Strategic handles or helps support the assigned adjuster on  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.  In this role, the adjuster will be a part of the corporate claims team and made available for special projects and assignments to support the field claims organization.  Engagement with a field operation and their claims will usually last no more than 10 weeks at which time the role will be reassigned to a new strategic project. This is a Hybrid role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the...