Claims Associate - Workers Compensation (100% Onsite)
About The Position
The Claims Associate oversees components of the Nevada Workers’ Compensation claims process, ensuring assigned 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 and other appropriate parties to resolve issues and complete required activities. The position may also support quality and compliance programs, assist with additional Workers’ Compensation activities as business needs require, and perform other duties as assigned.
Requirements
- High school diploma or GED.
- 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.
- Ability to think clearly and conceptually and demonstrate judgment, troubleshooting, problem-solving, analysis, and discretion.
- Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
- Ability to perform computer keyboarding; travel as required.
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 the timeliness of key Workers’ Compensation claim activities, including denials, settlements, payments, filings, required timeframes, and other assigned activities.
- Monitor claims to ensure required actions, payments, documentation, and filings are completed accurately and on time.
- Oversee assigned 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 the preparation, review, and submission of required claim documentation and regulatory filings.
- Monitor timely processing of benefits and payments and follow up on outstanding items as appropriate.
- Support 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.
- Support the organization’s quality and compliance programs.
- Assist with additional Workers’ Compensation activities as business needs require.
- Perform other duties as assigned.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision benefits.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- 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
