4 employee benefits client manager ii jobs found in Remote

The Vice President of National Sales will be responsible for the generation and conversion of new business opportunities for CorVel, primarily focusing on Managed Care solutions with an emphasis on insurance carriers, self-administered programs, state insurance funds, program administrators, and TPAs. The VP will establish direct relationships with decision makers and will be responsible for the successful development and conversion of opportunities through engagement with the customer as well as internal teams. The VP will have a proven understanding of the target markets, be involved in long-term planning, collaborate with marketing and local sales reps, contribute to overall sales strategy, and develop the pipeline to position CorVel for growth. The VP will embrace our core values: Accountability Commitment Excellence Integrity Teamwork This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Able to take a consultative approach to sales to...

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 is a remote role. 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 Coordinates early return-to-work efforts with the...

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...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Huron, South Dakota or surrounding.   Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, the insurance adjuster, medical providers, members of our team, and others.  This is a local position that requires travel and is responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others....