3 payment integrity analyst ii jobs found in Portland, OR

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation 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 and understanding of claims...

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 position. 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...

The Software QA Engineer supports the planning, coordination, automation, execution, and reporting of testing activities for proprietary software applications developed by our Engineering teams. This role performs functional, regression, integration, and post-release validation while leveraging AI-assisted tools to improve test design, coverage, and test execution. The QA Engineer partners closely with Engineering, business units, and subject matter experts to develop test cases, manage test data, validate expected results, and contribute to robust automated test suites. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Create, automate, execute and maintain test cases for new and modified functionality Utilize AI in all phases of the testing process  Develop complex SQL scripts from scratch Perform baseline, regression, functional/integration, and post-release testing on assigned application modules Quickly respond to and test fixed defects;...