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. Collaborates with internal business partners to identify and address improvement opportunities and product enhancements.
This position will work a hybrid schedule, requiring 1-2 days per week in the Pittsburgh office.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Review reserve & settlement request within CPS authority if client handling instructions require
- Assist with claim review file selection, internal preparation and attend review. Manage 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. Complete audits, combine audits from multiple sources and summarize results to ensure compliance with client expectations, identify trends and developmental opportunities
- Partner with Claim Managers to perform QA audit for temporary employees
- Assist Claim Management with assigning of claims and other claims supervisor duties during periods in additional supervisor capacity is needed
- Promote adherence to client and carrier reporting requirements
- Provide account service instruction revision recommendation(s)/collaborate with AM to communicate changes to service staff
- Working with the AM, provide 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
- Review client overview, expectations, service instructions and key performance indicators with adjusters new to the client's program
- Document and surface issues or potential service opportunities to appropriate members of the management and executive team
- Utilize various reports and analytics to promote data integrity
- Adhere to HIPPA regulations, policies and procedures
- Follow CorVel policies and procedures
- Requires regular and consistent attendance
- Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
- Adhere to all company policies, best practices and procedures
- Additional projects and duties may be assigned
KNOWLEDGE & SKILLS:
- Reliable professional with the 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 skills and ability to build relationships
- Strong presentation skills
- Strong interpersonal skills and commitment to customer service
- Effective quantitative, analytical and interpretive skills
- Technical aptitude
- 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
- Working knowledge of Microsoft Office Products; proficiency in CareMc is a plus
- Demonstrated proficiency specifically using Excel and manipulating/organizing data
- Strong leadership, management and motivational skills
- Ability to interpret and utilize analytical data
- Assist in OSHA data collection and reporting compliance
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
- Current license(s) or certification(s) as required by state
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.
Pay Range: $51,520 – $77,102
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
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.
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