Claims Management Platform

Care^MC Edge: Built for Performance. Built by Expertise.

Claims management has never been easier with Care^MC Edge, which leverages best-in-class technology to deliver greater transparency, help employees recover more quickly, and maximize savings. With over nearly 40 years of experience, we’ve enhanced claims management so professionals outrun risk and get ahead of costs.

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Why Care^MC Edge?

One integrated platform for all claims management solutions.

Care^MC Edge connects all stakeholders throughout the entire claims process, providing real-time updates and streamlining communication to optimize an employee’s recovery and employer’s savings. It’s a comprehensive way of managing claims–providing all the tools needed to make informed decisions with confidence.

Claims Risk Score

Get a personalized risk assessment.

We use advanced technology to rate all data elements on a claim and grade its level of risk.
Several factors such as return-to-work estimates, physical demand requirements, pain levels, and more are incorporated to conduct an accurate evaluation.

Executive Dashboard

Manage everything, all from one place.

Dynamic and interactive high-level overview of your entire program, delivering essential claims data and next steps through the entire process.
Actionable insights for adjusters, period-over-period benchmarking, litigation information, and more.
Complete visibility and real-time information through every stage to keep return-to-work progress on track.

Case Management Technology

Ensure employees access quality care.

Ongoing access to resources for case managers to proactively guide injured workers and deliver high-quality care.
Predictive modeling for identifying potential barriers to recovery.
A direct line to providers for immediate scheduling with specialty networks to ensure holistic recovery.
Provides insights into pharmacy management of drugs and treatments.

Return-to-Work Module

Take informed action to drive better outcomes.

Comprehensive overview provides key details related to return-to-work plans, including work restrictions, dates, claim-specific notes, and status.
Track the progress of return-to-work initiatives and monitor employees’ transition back to functional work positions.
Visualize return-to-work journeys for optimized resource allocation and proactive management.

Generative AI Integration

Care^MC Edge now includes generative AI capabilities that accelerate decision-making, streamline documentation, and provide predictive insights. From summarizing claim notes to identifying patterns in care delays, generative AI helps adjusters spend less time clicking and more time communicating—with providers, claimants, and clients.

Built For Results

Care^MC Edge is more than a claims platform. It’s the technology that supports people, process, and performance—delivering measurable results, not just automation.

Care^MC Edge is also the system that drives CorVel’s Operational Excellence (OpEx) Program. With real-time visibility into performance, integrated workflows, and embedded quality controls, Care^MC Edge ensures every claim is managed consistently and with care. It empowers claims teams to work smarter and stay aligned with program goals, compliance requirements, and injured worker needs.

Real-Time KPIs & Dashboards: Tracks team and individual performance across quality, compliance, and resolution metrics.
Smart Alerts & QA Triggers: Identifies documentation gaps, medical red flags, or workflow delays before they impact outcomes.
Supervisor Oversight: Claims Supervisors have access to performance dashboards and quality indicators, enabling proactive coaching and intervention.
Integrated Return-to-Work Tracking: Visualizes treatment timelines, recovery progress, and provider performance in one place.

Care^MC Edge powers CorVel’s high-performance culture—driving faster resolutions, smarter decisions, and more consistent outcomes across the board.