6 bill review analyst i jobs found in Portland, OR

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a position is open to remote or hybrid. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established 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 Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge...

As our business growth continues we have an established need for data intensive cloud development. We need the aid of a highly motivated problem solver.  An engineer who enjoys the challenge of resolving complex problems with innovative solutions. We desire an engineer with a proven track record of delivering high quality results. An individual who is a self-driver with the ability to work across multiple facets of a project while juggling multiple responsibilities seamlessly. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop and maintain complex Software system Acquire extensive business and system knowledge Apply system knowledge to diagnose and fix complex problems Perform requirements analysis, design, peer reviews and documentation Provide reliable estimates of effort and good identification of risks Apply sound software engineering processes, including iterative development, unit testing, source code control, inspections and...

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 position is open to remote or hybrid. 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...

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 position is open to remote or hybrid. 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...

We are seeking an experienced Price Analyst II with 3-5+ years of experience in pricing analysis, market research, and strategic pricing initiatives. This mid-level role focuses on developing pricing strategies, conducting advanced market analysis, and supporting revenue optimization efforts. The ideal candidate demonstrates proven analytical expertise, strong business acumen, and the ability to translate complex pricing data into actionable business insights.   Experience in Workers' Compensation pricing and analysis is required. This role is ideal for a strategic, data-driven finance professional, who values accuracy , as well as quality over quantity , and thrives in environments that demand insightful analysis and independent ownership .  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop and execute comprehensive analyses to support strategic pricing decisions Lead competitive intelligence initiatives and market positioning...

An Implementation/Technical Project Coordinator is an integral team member, serving as the primary point of contact for CorVel’s Enterprise Comp Solution implementations. They oversee all onboarding details for new customers and are responsible for driving action items critical to timely and accurate account setups. This is a highly visible role that requires a great deal of communication and coordination between different groups. The Implementation Coordinator works with all offices of the organization including Account Management, Customer Configurations, Software Development, Business Operations, and Executive Management, communicating requirements and deliverables with an exceptional level of customer service and professionalism.  This role will have a major impact on the success of our software development team as it strives to deliver applications that are vital to the services that CorVel provides. In addition to project management skills and some knowledge of the software...