Claims Management
A claims process like no other.
We combine technology, expert oversight, and quality assurance—so adjusters can focus on what matters most: supporting injured workers with timely, compassionate care and delivering better outcomes for our clients.
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Empowering adjusters with industry-leading tools and technology.
CorVel equips teams with intuitive technology and expert guidance—supporting high-quality decisions, streamlined workflows, and faster recoveries for injured workers.
Make more informed decisions
Medical guidance and predictive insights help adjusters confidently choose the right path forward.
Be true advocates for injured workers
Automation lifts the administrative burden, so adjusters stay focused on compassionate, high-quality care.
Control medical costs
Real-time monitoring ensures care is timely, necessary, and cost-effective.
Overcome obstacles
Predictive analytics flag delays early—enabling proactive intervention and smoother recovery.
Take action early
Early identification and proactive management help prevent minor injuries from becoming major claims.
CareMC Edge
Smarter and faster claims management starts with CareMC Edge.
Resolving claims doesn’t need to be complex. That’s why we designed CareMC Edge—a modern platform that automates tasks, centralizes information, and keeps adjusters connected to every stakeholder.
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CareMC Edge
Our CareMC Edge platform streamlines the claims process, putting the right data and safeguards in the hands of every adjuster—so they can build better strategies, improve recovery timelines, and ensure consistent, high-quality outcomes.
- Centralized Claims DataAll notes, documents, and communications are housed in one system—improving visibility, accuracy, and response times. This enables adjusters to efficiently manage caseloads, identify claims needing immediate intervention, and deliver faster resolution.
- Integrated Workflows & Predictive GuidanceCareMC Edge combines predictive modeling, evidence-based medical guidelines, and automated workflows to help adjusters make timely, informed decisions. Real-time treatment calendars and return-to-work tracking ensure injured workers receive appropriate care—while automation reduces manual tasks so adjusters can focus on strategic, high-value actions.
- Generative AI IntegrationGenerative AI enhances claims management through real-time insights, workflow automation, and smarter decision support. The AI identifies inconsistencies, flags opportunities for early intervention, and reduces repetitive tasks—minimizing burnout and allowing adjusters to focus on personalized, value-driven care.
Our Approach: Operational Excellence
CorVel’s Operational Excellence (OpEx) Program is a data-driven, results-focused approach designed to ensure consistency, accountability, and high performance across every aspect of claims management. Through integrated systems, real-time data, and expert oversight, we manage each claim with precision—providing quality assurance, reducing litigation, and accelerating return-to-work outcomes.
- Performance Tracking: Our Claims Excellence Tracker and operational KPIs ensure real-time visibility and consistent results.
- Leadership Oversight: Weekly reviews, team roundtables, and performance incentives drive accountability at every level.
- Balanced Caseloads: Workload monitoring by supervisors helps improve adjuster well-being and ensure high-quality claim resolution.
- Expert Network: In-house case managers, medical directors, and billing specialists support complex claims.
- Regional Expertise: With 75 offices nationwide, adjusters receive localized regulatory guidance to manage claims with precision and ensure compliance.
- Compliance Built In: Local and state regulations are embedded in training and workflows, reducing compliance risk and ensuring consistent claim quality and alignment with regulations.
Talent-driven Results
Behind every successful claim is a well-supported, well-trained team. CorVel invests in talent with purpose—from who we hire to how we train, develop, and grow them—aligning our workforce with the goals of our Operational Excellence (OpEx) Program.
Purposeful Recruitment & Onboarding
We hire with intention—seeking professionals with specialized skills and a passion for innovation. Our CorVel University cohort model provides mentorship, state-specific training, and real-world learning that prepares adjusters from day one.
Support That Drives Retention
Balanced caseloads, flexible work options, and floating adjusters help reduce burnout and sustain long-term performance. Ongoing feedback and clear career paths reinforce a culture of growth, accountability, and excellence.
Leadership Development & Recognition
We cultivate tomorrow’s leaders through structured advancement programs, supervisor training, and professional development tracks—helping team members gain the skills and insights needed to become successful leaders and build long-term careers with CorVel.
Let’s raise the standard for claims management.
CorVel brings accountability, innovation, and expertise to every claim. Let’s talk about how our end-to-end solutions—and commitment to operational excellence—can improve outcomes for your program.
Ready to get started?
Our team is ready to answer any questions and help you find the right solutions.