[Hiring] Claims Quality Assurance @CorVel Career Site

Role Description

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary responsibility is evaluating claim handling quality, accuracy, and timeliness in categories including but not limited to:

• Coverage analysis
• Investigation
• Valuation
• Reserving
• Compliance
• Accurate disposition of claims

This role has the ability to interpret results and trends in order to deliver operational reporting and participate in the development and presentation of training. This is a remote position.

Qualifications

• Excellent written and verbal communication; demonstrated ability to provide superior service to internal and external stakeholders
• Effective quantitative, analytical and interpretive skills
• Excellent leadership and mentorship skills, with a demonstrated ability to motivate staff and obtain results through teamwork and education
• Ability to identify priorities, execute and handle multiple responsibilities in a dynamic, fast paced environment
• Strong proficiency with Microsoft Office applications
• Strong interpersonal, time management, project management, and organizational skills
• Ability to maintain a high level of professionalism
• Knowledge of the entire claims administration processes including ancillary services
• Ability to remain poised in stressful situations and communicate with diplomacy, using written and verbal communication
• Ability to work independently or in a team environment while functioning as an educator rather than an auditor

Requirements

• Bachelor’s Degree with course concentration in Business Administration, or related field; or 5+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third-party claim organization with significant claim management expertise
• Must have significant industry experience and a thorough understanding of CorVel’s proprietary systems and solutions
• Certified Trainer and/or Quality Assurance experience a plus

Benefits

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• Paid time off

Company Description

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).