4 medical case manager i jobs found

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...

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....

At Swyfft, we're reshaping the way home insurance, flood insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at...

The CorVel University Claims Trainee is an entry level position for those who are interested in developing a career path in claims adjudication within Workers’ Compensation, Liability, or Subrogation. The CorVel University Claims Trainee will participate in CorVel Claims College, internal mentorship, and/or on-the-job programs to provide them with the tools they need to properly investigate, analyze and manage claims within CorVel’s Best Claims Practices. CorVel will support the CorVel University Claims Trainee in obtaining the appropriate jurisdictional certification for adjudicating claims within a specified time frame. The success of this position relies on the ability to multi-task and includes heavy interpersonal communication via phone and email. The duration of time within the trainee title depends upon demonstrated performance, testing and business need. This is a hybrid position that is open to candidates nationwide. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...