Workers' Compensation Claims Manager

Shook and Stone CHTD • Las Vegas, NV

2d • Onsite

About The Position

The Workers' Compensation Claims Manager plays a critical role in supporting injured workers as they navigate the process of obtaining Workers' Compensation benefits. This role manages a caseload through every stage, from medical treatment through litigation and final settlement, collaborating closely with clients, attorneys, and insurance adjusters to secure the best possible outcome for each case.

Requirements

• Strong organizational and time management skills, with the ability to prioritize and multitask effectively
• Excellent verbal and written communication skills, with the ability to communicate professionally and confidently with employees at all levels
• Proficiency in MS Office applications
• Attention to detail and accuracy in data entry and record-keeping
• Ability to maintain confidentiality and handle sensitive information with discretion
• Strong problem-solving skills and the ability to work both independently and collaboratively in a team environment

Nice To Haves

• Previous experience with a law firm
• Bilingual in English and Spanish

Responsibilities

• Oversee the handling of a caseload of Workers' Compensation claims, ensuring that all cases progress smoothly and efficiently
• Maintain open lines of communication with clients and insurance adjusters to ensure all workers' compensation benefits are timely administered
• Review all determination letters to decide whether to initiate court action
• Determine, based on current medical status, whether additional benefits should be sought, including scope expansion, surgical recommendations, and other medical care
• Offer compassionate and empathetic support to clients throughout the entire claims process
• Collaborate with clients to gather additional medical evidence and information that may strengthen their case
• Collaborate closely with attorneys, paralegals, and legal experts to develop effective case strategies for hearings
• Prepare clients for evaluations, including permanent partial disability and functional capacity evaluations
• Maintain detailed and accurate records of all client interactions, adjuster interactions, hearings, and case developments
• Review medical reporting, including permanent partial disability evaluations, to determine the necessity of seeking additional rating evaluations consistent with statutory law
• Review all requests for reimbursement to ensure statutory compliance and timely submission
• Audit responses to formal requests to ensure compliance, including determining whether court intervention is necessary
• Calculate average monthly wage, temporary total disability entitlement, and permanent partial disability awards
• Follow ethical standards and confidentiality guidelines in all interactions and case management

Benefits

• Free employee-only coverage for Medical, Dental, Vision, and Life Insurance
• Option to purchase Long-term & Short-term Disability coverage
• 401(k) Retirement plan with employer match (available once eligible)
• Supportive, collaborative work culture with quarterly team events

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed