Claims Associate - Workers Compensation (100% Onsite)
About The Position
The Claims Associate oversees components of the Nevada Workers’ Compensation claims process, ensuring claim activities are completed accurately and within applicable timeframes. The role provides focused oversight of specific claim functions, supports compliance with Nevada Workers’ Compensation requirements and internal standards, and coordinates with claims examiners, leadership, and other appropriate parties to support timely completion of claim activities. The role monitors claim documentation, filings, denials, settlements, benefits, and payments; identifies outstanding or time-sensitive items; and follows up on potential delays, missing information, or process issues. It also assists with required claim documentation and regulatory filings, supports quality and compliance programs, and performs other Workers’ Compensation activities as business needs require.
Requirements
- High school diploma or GED required.
- At least 1 year of claims management experience, or an equivalent combination of education and experience.
- Must possess or be able to obtain the applicable Nevada Workers’ Compensation claims certification or credential required for the position.
Nice To Haves
- Bachelor’s degree from an accredited college or university.
- Professional certification applicable to the line of business.
- Experience supporting or managing claim activities involving regulatory timeframes, payments, filings, denials, settlements, or similar claim functions.
Responsibilities
- Track and report on timeliness of key Workers’ Compensation claim activities, including denials, settlements, required timeframes, payments, filings, and other assigned activities.
- Monitor claims to ensure required actions, payments, documentation, and filings are completed accurately and within established timeframes.
- Provide oversight of specific portions of the claims process to support compliance with Nevada Workers’ Compensation requirements and internal standards.
- Review claim activity and documentation to identify outstanding or time-sensitive items requiring action or follow-up.
- Coordinate with claims examiners, leadership, and appropriate parties to support timely completion of claim activities.
- Assist with preparing, reviewing, and submitting required claim documentation and regulatory filings.
- Monitor timely processing of benefits and payments and follow up on outstanding items as appropriate.
- Support the handling of denials and settlements by ensuring required documentation, notices, approvals, and related activities are completed within applicable timeframes.
- Identify potential delays, missing information, or process issues and work with appropriate parties toward resolution.
- Perform other duties as assigned and support the organization’s quality and compliance programs.
- Assist with additional Workers’ Compensation activities as business needs require.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off (PTO).
- Disability and life insurance.
- Employee assistance.
- Flexible spending or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
