Client Performance Specialist I

CorVel Corporation•Folsom, CA

16h•$55,319 - $82,787•Hybrid

About The Position

The Client Performance Specialist works to understand customers’ business objectives and collaborates with the CorVel Account Manager, AVP, claims organization, and other internal partners to ensure CorVel follows claim practices and standards and delivers agreed-upon results. The role identifies improvement opportunities and product enhancements, supports client audits and performance reporting, and provides claims-related guidance. This is a hybrid position.

Requirements

Bachelor’s degree or a combination of education and related business experience.
Demonstrated experience in claims supervision.
At least 3 years of experience handling claims.
Ability to balance customer orientation with a results-driven approach.
Knowledge of CorVel services and completion of all CorVel Product Training Modules.
Business acumen, 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.
Ability to work collaboratively and independently.
Ability to work with highly sensitive information.
Highly developed organizational, analytical, and time-management skills.
Strong leadership, management, and motivational skills.
Ability to interpret and use analytical data.
Working knowledge of Microsoft Office products, specifically Excel.

Nice To Haves

Proficiency in CareMC.

Responsibilities

Review reserve and settlement requests within CPS authority as required by client instructions.
Assist with claim review file selection and internal preparation; attend reviews and manage documentation and follow-up on actionable items.
Collaborate with the account manager to develop and deliver presentations as needed.
Work with the account manager and business owner (AVP) to identify opportunities to recommend additional CorVel services.
Discuss, understand, and meet standards agreed upon by CorVel and the customer.
Partner with the account manager and AVP to ensure client-specific audits address identified KPIs; complete audits, combine audits from multiple sources, and summarize results to assess compliance, trends, and development opportunities.
Partner with Claim Managers to perform quality assurance audits for temporary employees.
Assist Claim Management with claim assignments and other claims supervisor duties when additional supervisor capacity is needed.
Promote adherence to client and carrier reporting requirements.
Recommend revisions to account service instructions and collaborate with the account manager to communicate changes to service staff.
Work with the account manager to provide internal partners reports on trends, development opportunities, new service opportunities, personnel concerns, and recommendations.
Provide claims staff with technical and jurisdictional guidance regarding investigation, reserving, litigation, and complex claims.
Review client overviews, 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 management and executive team members.
Use reports and analytics to promote data integrity.
Assist with OSHA data collection and reporting compliance.
Adhere to HIPAA regulations, policies, and procedures.
Perform additional duties as assigned.