6 medical case manager i jobs found

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Lawrenceville, GA area. This is a hybrid role: 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, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. Must be a registered nurse. Must have national certification – CCM, COHN, CRRN, CDMS. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the...

The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a hybrid role. Candidate must have national certification: CCM, COHN, CRRN, CDMS. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who are not RN’s, the clinical oversight and...

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...

Overview The Cyber Underwriter will produce and underwrite new and renewal business within the fast-growing Cyber Division. The role will be responsible for assessing the cybersecurity maturity and insurability of business entities across a wide range of industry sectors. The ideal candidate will be responsible for underwriting new and renewal business, helping improve the technical expertise and underwriting guidelines within the division, as well as developing relationships with our key broker partners to achieve our team’s shared goals. To be successful the candidate must be self-motivated, adaptable to a changing marketplace, and able to work and collaborate as part of a team. Responsibilities Responsibilities Achieve individual and team premium and production goals balanced with maintaining target loss ratios. Demonstrate technical and strategic underwriting skills when assessing each submission for new and renewal...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Why Choose a Career with the AAA The Auto Club Group (ACG) / AAA Car Care:   At AAA Car Care, we are your preferred automotive   experts,   providing customers with friendly, knowledgeable advice and technical   expertise . With   4 7   stores   and counting,   we are   one of the   largest chains of AAA club-owned repair facilities in the USA. In our clean and conveniently   located   facilities, we offer a full range of automotive repair and maintenance services to AAA members and non-members.  Every AAA Car Care facility is   staffed with ASE-certified technicians who   ensure that every car is treated with the utmost care.   With   the majority of   our shops   being   air conditioned , it   sets us apart from...

Overview The Lead Claim Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization. Responsibilities Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers. Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience. Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing....