Claims Manager

7 days ago


Folsom, California, United States CorVel Enterprise Comp, Inc. Full time

As a Workers Compensation Claims Expert at CorVel Enterprise Comp, Inc., you will have the opportunity to utilize your analytical and problem-solving skills to manage high-visibility claims. With a strong understanding of industry standards and best practices, you will work collaboratively with case managers and attorneys to ensure the best possible outcomes for clients. In this role, you will be responsible for receiving claims, confirming policy coverage, and determining the validity and compensability of claims through thorough investigation and documentation.

To succeed in this position, you should possess excellent written and verbal communication skills, as well as the ability to work effectively in a team environment. A Bachelor's degree or equivalent experience is necessary, along with a minimum of 3 years' industry experience and claim handling expertise. CorVel Enterprise Comp, Inc. offers a competitive salary range of $28.02 - $45.13 per hour, based on location and experience. Benefits include a comprehensive package with medical, dental, vision, long-term disability, health savings account, flexible spending accounts, life insurance, accident insurance, critical illness insurance, pre-paid legal insurance, parking and transit FSA accounts, 401(k), Roth 401(k), and paid time off.

Responsibilities
  1. Receives and confirms claims within delegated authority limits.
  2. Determines validity and compensability of claims through investigation and documentation.
  3. Establishes reserves and authorizes payments within reserving authority limits.
  4. Develops and manages action plans with case managers and outcomes managers to reduce claim costs.
  5. Coordinates early return-to-work efforts with relevant parties.


  • Folsom, California, United States BRMS Full time

    Job SummaryWe are looking for an experienced Healthcare Insurance Claims Professional to join our team at BRMS. As a key member of our claims processing team, you will be responsible for analyzing and processing medical claims with accuracy and efficiency.Key Responsibilities:Critical analysis of employee benefits for medical, dental, and vision plans to...


  • Folsom, California, United States Gallagher Bassett Full time

    About the RoleAs a Claims Resolution Specialist, you will be responsible for investigating, evaluating, and resolving complex workers' compensation claims. You will work in partnership with clients to deliver innovative solutions and enhance the claims management process.


  • Folsom, California, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionWe are looking for a highly motivated Workers' Claims Coordinator to join our team at CorVel Enterprise Comp, Inc. This is a remote opportunity that requires strong organizational skills, excellent communication skills, and the ability to work independently and in a team environment.The ideal candidate will have six months of service-oriented...

  • Claims Adjuster Role

    4 weeks ago


    Folsom, California, United States George Hills Company Full time

    Job SummaryWe are seeking a skilled Claims Adjuster to join our team at George Hills Company. As a key member of our claims administration team, you will be responsible for investigating, evaluating, and adjusting General and Automobile Liability claims.About the RoleIn this role, you will investigate claims, evaluate liability exposure, create and maintain...


  • Folsom, California, United States CorVel Enterprise Comp, Inc. Full time

    About the RoleCorVel Enterprise Comp, Inc. is seeking a highly skilled Compensation Specialist to join our team in managing workers' compensation claims. As a key member of our claims department, you will be responsible for ensuring seamless claim management and delivering exceptional customer service.


  • Folsom, California, United States CorVel Enterprise Comp, Inc. Full time

    A Career as a Workers' Compensation Claims Specialist at CorVel Enterprise Comp, Inc. offers exciting opportunities for growth and development.About Our CompanyCorVel Enterprise Comp, Inc. is a national provider of risk management solutions for various industries. Our commitment to innovation and technology enables us to deliver comprehensive solutions to...


  • Folsom, California, United States CorVel Healthcare Corporation Full time

    ResponsibilitiesThe Risk Management Professional will provide technical and jurisdictional guidance to management, clients, external, and internal claims staff regarding complex regulatory items. Evaluates all upcoming regulatory changes, communicating to affected departments to enable system and policy/procedural updates where needed in a timely manner.


  • Folsom, California, United States Johnson Controls Full time

    Johnson Controls is seeking a Customer Service Operations Manager to join our team. In this role, you will be responsible for ensuring that all customer account information required to support call management activities and scheduling of tasks are kept up to date in NxGen. You will also create new customer accounts, reconcile updates, and manage changes with...


  • Folsom, California, United States CorVel Enterprise Comp, Inc. Full time

    Workers Compensation Claims Management Position at CorVel Enterprise Comp, Inc.We are seeking a seasoned Workers Compensation Claims Management professional to join our team at CorVel Enterprise Comp, Inc. As a key member of our team, you will be responsible for managing workers' compensation claims, ensuring timely and cost-effective resolution.You will...


  • Folsom, California, United States Hire Reactor Full time

    Job Title: Dental Treatment CoordinatorWe are seeking a highly skilled and experienced Dental Treatment Coordinator to join our team at Hire Reactor.Purpose: The successful candidate will be responsible for coordinating dental treatment plans, managing patient records, and communicating with patients and dentists to ensure seamless care delivery.Key...


  • Folsom, California, United States CorVel Healthcare Corporation Full time

    CorVel Healthcare Corporation - Bill Review SpecialistThis role offers an exciting opportunity to join the CorVel team as a Bill Review Specialist, working closely with our experienced professionals to ensure accurate and timely bill review processes. The successful candidate will possess excellent analytical skills, attention to detail, and effective...


  • Folsom, California, United States Tetra Tech Full time

    Tetra Tech is a leader in sustainable design, committed to reducing the carbon output of buildings through intelligent, data-driven building design. Our world-class design teams have delivered a growing portfolio of net-zero energy and net-zero water buildings across market sectors.We are seeking an experienced Senior Electrical Lead Engineer to join our...

  • Claims Assistant

    2 months ago


    Folsom, United States CorVel Corporation Full time

    The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. This is a remote opportunity. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and...


  • Folsom, United States CorVel Corporation Full time

    CorVel is seeking a full time Sr. Claims Specialist. 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...


  • Folsom, United States CorVel Corporation Full time

    The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to...


  • Folsom, United States BRMS Full time

    Summary: The Medical Claims Examiner I - Processor I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties. Essential Duties and Responsibilities include the following. Other duties may be assigned.Comprehensive understanding of employee benefits for...


  • Folsom, United States BRMS Full time

    Summary: The Medical Claims Examiner I - Processor I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties. Essential Duties and Responsibilities include the following. Other duties may be assigned.Comprehensive understanding of employee benefits for...


  • Folsom, United States Dr. James Yee Full time

    About the RoleAs a Medical Practice Administrator, you will be responsible for overseeing the daily operations of our medical office, ensuring seamless patient flow, and maintaining accurate records.You will work closely with our doctor and staff to provide top-notch patient care, manage insurance claims, and maintain a positive work environment.A...


  • Folsom, United States Dr. James Yee Full time

    Job OverviewA Medical Receptionist is required for a busy, yet positive medical office in Folsom. This role requires Epic experience and insurance expertise.Company InformationOur fast-paced but fun environment is the perfect fit for a motivated individual.Job ResponsibilitiesManage patient flow and provide exceptional careProcess insurance claims and...


  • Folsom, United States FPI Management, Inc. Full time

    Job DescriptionJob DescriptionCompany DescriptionMultifamily Property ManagementJob Description• Property Name: Corporate Office • 800 Iron Point Rd, Folsom, CA 95630, USA • Full-Time  The HR Specialist; Leaves & Accommodations will report to the HR Manager; Leaves & Accommodations is responsible for overseeing the coordination and management of...

  • Software Engineer

    1 week ago


    Folsom, Pennsylvania, United States The Hagerty Group, LLC Full time

    As a highly skilled Software Engineer, you will be part of a team that oversees the development and operation of our agency management, billing, claims, and policy management products as well as our integrations with our partners.About The JobWe are looking for a talented individual to join our team as a .NET Software Engineer I.The estimated salary for this...

  • HVAC Cust Spprt III

    4 weeks ago


    Folsom, United States Johnson Controls Full time

    HVAC Customer Support Coordinator IIIUnleash your potential with the Johnson Controls team!As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places and the planet. Join our winning team and pave the way for a bright future. With our extensive reach across various...


  • Folsom, United States BRMS Full time

    Summary: The Implementation Specialist I position is directly responsible for delivering purchased benefit solutions and implementing MyHealthBenefits to BRMS clients. The Implementation Specialist I will work with the Client Implementation Team to deliver solution components, which includes collaborative consultation with the client, requirements...


  • Folsom, United States BRMS Full time

    Summary: The Implementation Specialist I position is directly responsible for delivering purchased benefit solutions and implementing MyHealthBenefits to BRMS clients. The Implementation Specialist I will work with the Client Implementation Team to deliver solution components, which includes collaborative consultation with the client, requirements...


  • Folsom, United States The Hagerty Group, LLC Full time

    As a .NET Software Engineer I, you will be part of a team that oversees the development and operation of our agency management, billing, claims, and policy management products as well as our integrations with our partners. As a member of this group you'll be implementing new features, investigating potential defects and addressing them if necessary, and...