Claims Manager
7 days ago
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- Receives and confirms claims within delegated authority limits.
- Determines validity and compensability of claims through investigation and documentation.
- Establishes reserves and authorizes payments within reserving authority limits.
- Develops and manages action plans with case managers and outcomes managers to reduce claim costs.
- Coordinates early return-to-work efforts with relevant parties.
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Claims Analyst Medical Healthcare
2 weeks ago
Folsom, California, United States BRMS Full timeJob 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...
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Claims Resolution Specialist
4 weeks ago
Folsom, California, United States Gallagher Bassett Full timeAbout 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.
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Workers' Claims Coordinator
3 days ago
Folsom, California, United States CorVel Enterprise Comp, Inc. Full timeJob 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...
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Claims Adjuster Role
4 weeks ago
Folsom, California, United States George Hills Company Full timeJob 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...
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Compensation Specialist
4 weeks ago
Folsom, California, United States CorVel Enterprise Comp, Inc. Full timeAbout 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.
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Claims Administration Expert
7 days ago
Folsom, California, United States CorVel Enterprise Comp, Inc. Full timeA 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...
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Risk Management Professional
4 days ago
Folsom, California, United States CorVel Healthcare Corporation Full timeResponsibilitiesThe 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.
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Customer Service Operations Manager
4 weeks ago
Folsom, California, United States Johnson Controls Full timeJohnson 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...
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Senior Workers Compensation Adjuster
1 week ago
Folsom, California, United States CorVel Enterprise Comp, Inc. Full timeWorkers 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...
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Dental Treatment Coordinator Specialist
4 days ago
Folsom, California, United States Hire Reactor Full timeJob 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...
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Bill Review Specialist
6 days ago
Folsom, California, United States CorVel Healthcare Corporation Full timeCorVel 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...
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Folsom, California, United States Tetra Tech Full timeTetra 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...
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Claims Assistant
2 months ago
Folsom, United States CorVel Corporation Full timeThe 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...
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CA Senior Claims Specialist
2 months ago
Folsom, United States CorVel Corporation Full timeCorVel 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...
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CA Senior Claims Specialist
4 months ago
Folsom, United States CorVel Corporation Full timeThe 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...
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Medical Claims Examiner Processor I
2 months ago
Folsom, United States BRMS Full timeSummary: 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...
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Medical Claims Examiner Processor I
2 months ago
Folsom, United States BRMS Full timeSummary: 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...
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Medical Practice Administrator
1 week ago
Folsom, United States Dr. James Yee Full timeAbout 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...
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Medical Office Coordinator
6 days ago
Folsom, United States Dr. James Yee Full timeJob 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...
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Folsom, United States FPI Management, Inc. Full timeJob 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...
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Software Engineer
1 week ago
Folsom, Pennsylvania, United States The Hagerty Group, LLC Full timeAs 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...
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HVAC Cust Spprt III
4 weeks ago
Folsom, United States Johnson Controls Full timeHVAC 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...
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Implementation Specialist I
1 day ago
Folsom, United States BRMS Full timeSummary: 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...
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Implementation Specialist I
2 weeks ago
Folsom, United States BRMS Full timeSummary: 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...
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.NET Software Engineer I
2 weeks ago
Folsom, United States The Hagerty Group, LLC Full timeAs 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...