Managed Care Claims Expert
2 weeks ago
The MCO Claims Consultant plays a pivotal role in managing the performance and updates of the claims department. This position involves overseeing and maintaining a designated Book of Business (BoB) consisting of lower premium employers. The consultant acts as the main liaison for employers and injured associates, streamlining the intake process and collaborating closely with Account Managers to ensure an exceptional customer experience.
Key Responsibilities:- Maintain retention of the assigned Book of Business
- Conduct intake and triage functions
- Ensure compliance with capacity statistics
- Engage in telephonic communication with the Book of Business
- Provide weekly oversight of MoD
- Willingness to travel as necessary
- Familiarity with BWC Discount Programs
- Act in a consultant-like capacity with Employers of Record (EOR)
- Resolve conflicts and address problems effectively
- Collaborate with Account Managers
- Generate ad hoc reports as needed
- Participate in additional projects as assigned
- Exceptional Customer Service Skills
- Strong written and verbal communication abilities
- Effective problem-solving skills
- Proficiency in computer applications (MS Office)
- Excellent interpersonal and organizational skills
- Bachelor's degree or equivalent experience
- At least 1 year of relevant industry experience
$25.69 per hour
About CorVel Corporation
CorVel Corporation is a leading provider of risk management solutions across various sectors. We are dedicated to delivering innovative and integrated services to our clients. With a workforce of over 4,000 employees nationwide, we uphold the values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT). Our comprehensive benefits package is available for full-time employees.
CorVel Corporation is an Equal Opportunity Employer and adheres to ADA regulations.
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