Client Performance Specialist I

CorVel Brand; Folsom (CA); Hybrid; USD 85,000 - 115,000; Full time

Job summary

CorVel is seeking a Client Performance Specialist in California to support claim operations and drive adherence to best practices. The role partners with the Account Manager and AVP to optimize service delivery and client satisfaction.

The position is hybrid, with responsibilities across audits, data analysis, and claims leadership. A strong background in claims supervision and three years of hands-on claims experience are essential.

Qualifications

• Bachelor's degree or combination of education and related business experience.
• Demonstrated experience in claims supervision.
• Minimum of 3 years of experience handling claims.

Responsibilities

• Review reserve and settlement requests within CPS authority per client instructions.
• Assist with claim review file selection and preparation; manage documentation and follow-up.
• Collaborate with AM to develop and deliver presentations as needed.
• Provide reports outlining trends and opportunities to internal partners.

Skills

Excellent communication

Presentation skills

Analytical skills

Team collaboration

Data interpretation

Time management

Ability to handle sensitive info

Microsoft Office

Excel

Attention to detail

Education

Bachelor's degree or related business experience

Tools

Microsoft Office

Excel

CareMC

Job description

The Client Performance Specialist is committed to understanding customer business objectives and working collaboratively with the CorVel Account Manager, AVP, and the claims organization to assure CorVel executes our best claim practices/standards and delivers agreed upon results. This role collaborates with internal business partners to identify and address improvement opportunities and product enhancements.

This is a hybrid position

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

• Reviews reserve & settlement requests within CPS authorityas required by client instructions
• Assists with claim review file selection and internal preparation; attends review, manages the documentation and follow up of actionable items
• Collaborates with the account manager to develop and deliver presentations as needed
• In conjunction with the AM and business owner (AVP) looks for opportunities to recommend additional CorVel services
• Discuss, understand, and meet agreed upon standards as mutually determined by CorVel and customer
• Partner with AM and AVP to ensure client-specific audits address identified KPI's; completes audits, combines audits from multiple sources and summarizes results to ensure compliance with client expectations and to identify trends and developmental opportunities
• Partners with Claim Managers to perform QA audit for temporary employees
• Assists Claim Management with assigning of claims and other claims supervisor duties during periods in additional supervisor capacity is needed
• Promotes adherence to client and carrier reporting requirements
• Provides account service instruction revision recommendation(s)/collaborate with AM to communicate changes to service staff
• Working with the AM, provides reports to internal partners outlining identified trends, development opportunities, new service opportunities, personnel concerns and/or recommendations
• Provides technical and jurisdictional guidance to claims staff regarding investigation, reserving, litigation and/or complex claims
• Reviews client overview, expectations, service instructions and key performance indicators with adjusters new to the client's program
• Documents and surfaces issues or potential service opportunities to appropriate members of the management and executive team
• Utilizes various reports and analytics to promote data integrity
• Assists in OSHA data collection and reporting compliance
• Adheres to HIPPA regulations, policies and procedures
• Additional duties as assigned

KNOWLEDGE & SKILLS

• Ability to achieve balance between customer orientation and a results-driven approach
• Knowledge of CorVel's services and completion of all CorVel Product Training Modules
• Business acumen, coupled with enthusiasm and decorum
• Excellent written and verbal communication and presentation skills
• Strong interpersonal skills and commitment to customer service
• Effective quantitative, analytical and interpretive skills
• Able to work collaboratively and independently
• Ability to work with highly sensitive information
• Highly developed organizational abilities as well as analytical and time management skills
• Strong leadership, management and motivational skills
• Ability to interpret and utilize analytical data
• Working knowledge of Microsoft Office Products,specifically using Excel
• Proficiency in CareMC is a plus

EDUCATION & EXPERIENCE

• Bachelor's degree or combination of education and related business experience
• Demonstrated experience in claims supervision
• Minimum of 3 years of experience handling claims

PAY RANGE

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

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!).

A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.