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Workers Compensation Claims Specialist Jobs in Nevada

Workers Compensation Claims Advisor - West - Remote
By CRH Americas Corporate At , Phoenix $85,000 - $100,000 a year
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Sr. Workers Compensation Claims Analyst
By Tesla At , Sparks, 89434, Nv
Bachelor’s Degree Preferred (Business Administration, Insurance or Risk Management) or equivalent combination of education, training, and experience
Provide oversight as needed to respective regional Workplace Health Team for day-to-day operations, project management, and claim escalations.
A background in risk management and/or workers’ compensation claims management with a large-scale manufacturer or distributor is preferred but not required
Generate quarterly reports to Workers’ Compensation Manager related to high-exposure events, injury trends, claim costs, and workers’ compensation metrics.
Coordinate with the Return-to-Work team for employees who are receiving disability benefits due to non-accommodation in their department
Ad-hoc reporting, data analysis, presentations and training as requested by the Workers’ Compensation Manager.
Workers' Compensation Claim Specialist
By CCMSI At , Las Vegas, 89128, Nv
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Knowledge of all lower level claim position responsibilities.
Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
Excellent oral and written communication skills.
Good analytic and negotiation skills.
Must be detail oriented and a self-starter with strong organizational abilities.
Lost Time Workers' Compensation Claims Adjuster - Las Vegas, Nv
By UnitedHealth Group At , Las Vegas, 89102, Nv $46,700 - $91,300 a year
5+ years of experience with workers compensation
3+ years of experience with general clerical duties
Investigates questionable claims. Determines need for additional medical information.
Performs periodic follow-ups to verify continued existence of a disabling condition.
Responds to telephone and written inquiries from claimants, attorneys, physicians and policyholders.
Keeps track of time frames required of mandated correspondence.
Claims Examiner Iii - Workers Compensation (Open To Remote California)
By Markel Corporation At , Henderson, 89012, Nv $48 - $52 an hour
Strong organization and time management skills
Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure
Minimum of 5+ years of claims (workers compensation) handling experience or equivalent combination of education and experience
Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
Bachelor's degree or equivalent work experience required.
Excellent written and oral communication skills

Are you looking for a challenging and rewarding role in the Workers Compensation industry? We are looking for an experienced Claims Specialist to join our team and help us provide the best service to our clients. You will be responsible for managing and resolving complex claims, ensuring compliance with applicable laws, and providing excellent customer service. If you have a passion for helping people and a drive to succeed, this could be the perfect job for you!

Overview A Workers Compensation Claims Specialist is responsible for managing workers compensation claims and ensuring that injured workers receive the necessary medical care and financial compensation. They must be knowledgeable about the laws and regulations governing workers compensation and be able to interpret them in order to make sound decisions. Detailed Job Description A Workers Compensation Claims Specialist is responsible for managing workers compensation claims. This includes investigating claims, gathering evidence, and making decisions regarding the validity of the claim. They must be knowledgeable about the laws and regulations governing workers compensation and be able to interpret them in order to make sound decisions. They must also be able to communicate effectively with injured workers, employers, and insurance companies. Job Skill Requirements
• Knowledge of workers compensation laws and regulations
• Ability to interpret and apply laws and regulations
• Excellent communication and interpersonal skills
• Ability to investigate and analyze claims
• Ability to make sound decisions
• Ability to work independently and as part of a team
• Ability to handle multiple tasks simultaneously
• Proficiency in computer software programs
Job Qualifications
• Bachelor’s degree in business, law, or a related field
• Previous experience in workers compensation claims
• Certification in workers compensation
Job Knowledge
• Knowledge of workers compensation laws and regulations
• Knowledge of medical terminology
• Knowledge of insurance policies and procedures
• Knowledge of legal terminology
Job Experience
• Previous experience in workers compensation claims
• Previous experience in insurance or legal field
Job Responsibilities
• Investigate workers compensation claims
• Gather evidence to support claims
• Analyze claims and make decisions regarding validity
• Communicate with injured workers, employers, and insurance companies
• Ensure that injured workers receive necessary medical care and financial compensation
• Maintain accurate records of claims
• Monitor claims to ensure timely resolution
• Prepare reports and documents related to claims
• Stay up to date on changes in workers compensation laws and regulations