Client Performance Specialist I

CorVel Corporation; Folsom (CA); Hybrid; USD 70,000 - 105,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K/retirement plan

Job summary

CorVel Corporation seeks a Client Performance Specialist in a hybrid position to collaborate with the Account Manager, AVP, and claims teams to uphold claim practices and deliver agreed results. You will review reserves, assist with file selection, and drive data-driven improvements.

The role requires 3+ years in claims and a Bachelor's degree, with strong communication and analytical skills. You’ll partner on audits, KPI analyses, and service enhancements while adhering to HIPAA and reporting

Qualifications

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

Responsibilities

• Reviews reserve & settlement requests within CPS authority as 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

Skills

Customer service

Communication

Analytical skills

MS Excel

Collaboration

HIPAA knowledge

Education

Bachelor's degree

Tools

CareMC

Microsoft Office

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.