Claims Specialist-WC
$2,500 per monthCrawford & Company
HIRING NOW: Claims Specialist - Workers' Compensation (NEVADA)
Ready to make a real impact? We're looking for a sharp, proactive Claims Specialist-WC to join our team! In This Role, You'll
⚡ Administer and resolve non-complex, short-term Workers' Compensation claims, including medical-only cases
⚡ Maintain accurate and up-to-date documentation while monitoring open claim inventory
⚡ Ensure timely and proper closure of claims in compliance with internal standards
⚡ Make claim decisions within delegated authority guidelines If you're detail-driven, organized, and eager to grow in a fast-paced environment, you're exactly who we're looking for! ✨ Nevada residents - we want YOU ! Apply today and take the next big step in your WC career!
#LI-ET1
Ready to make a real impact? We're looking for a sharp, proactive Claims Specialist-WC to join our team! In This Role, You'll
⚡ Administer and resolve non-complex, short-term Workers' Compensation claims, including medical-only cases
⚡ Maintain accurate and up-to-date documentation while monitoring open claim inventory
⚡ Ensure timely and proper closure of claims in compliance with internal standards
⚡ Make claim decisions within delegated authority guidelines If you're detail-driven, organized, and eager to grow in a fast-paced environment, you're exactly who we're looking for! ✨ Nevada residents - we want YOU ! Apply today and take the next big step in your WC career!
- College degree or the equivalent of education and experience.
- Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).
- Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
- Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
- Demonstrates effective and diplomatic oral and written communication skills.
- Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.
- Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license.
#LI-ET1
- Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.
- Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
- Identifies wage loss expenses and wage exposures on medical claims.
- Documents receipt and contents of medical reports. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients.
- Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined.
- Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.
- Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction.
- With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms.
- Completes all reporting forms and file documentation.
- Adheres to client and carrier guidelines and prepares written updates for supervisor to review.
- Performs other related duties as required or requested.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Claims Specialist-WC in Henderson, NV vacancy
- ...We're Hiring: Sr. Claim Examiner - WC (NEVADA) Ready to take on high-stakes claims and make a real impact? We're seeking an experienced Claims Adjuster who excels at handling advanced, large-loss, and complex cases-with the independence to make sound decisions...Suggested
Crawford & Company
Henderson, NV2 days ago $48k - $95k
GGRM Law Firm in Henderson, NV, is looking for a Personal Injury Claims Specialist to handle negotiations and disbursements. The role involves maximizing client recovery through effective negotiation and collaboration with attorneys. Required qualifications include a high...SuggestedFlexible hours- ...experience and strong customer service skills. You'll be responsible for managing communications with contract holders, authorizing claims, and providing support for covered issues. FNHW offers a competitive benefits package, including medical, 401k, and performance-...SuggestedContract workFlexible hours
$48k - $95k
GGRM Law Firm. in Henderson, NV is seeking a Personal Injury Claims Specialist focused on Negotiations and Disbursements. This role involves managing client recoveries through effective settlement negotiation and documentation. Ideal candidates will have at least six months...SuggestedFlexible hours$17 per hour
...We are searching for a Claims Processor to oversee the processing and support of various forms of correspondence between insurance policy holders, providers, and claimants. This position is onsite in Henderson, NV. The position is contract-to-hire and pays $17 per hour...SuggestedHourly payContract workWork at officeBrewer Global
Henderson, NV13 hours ago$20 - $26 per hour
Summit Consulting in Henderson, NV is seeking a Claims Operations Associate for a remote position. Responsibilities include addressing requests, managing correspondence, and assisting with claim setup. Candidates should have a high school diploma, claims experience, and...Hourly payFull timeRemote workSummit Consulting
Henderson, NV1 day ago$20 - $26 per hour
...GAIC Great American Insurance Company is seeking a Claim Operations Associate I for their Strategic Comp division. This role involves administrative tasks from home, requiring candidates in Henderson, NV. Duties include handling claims operations requests, performing mail...Hourly payRemote workGAIC Great American Insurance Company
Henderson, NV5 days ago$20 - $26 per hour
Claims Operations Associate-Workers Compensation page is loaded## Claims Operations Associate-Workers Compensationremote type: Remotelocations: Henderson, NV (USA)time type: Full timeposted on: Posted Todayjob requisition id: R8883**Be Here. Be Great.** Working for a leader...Hourly payFull timePart timeSeasonal workWork from homeMonday to FridaySummit Consulting
Henderson, NV1 day ago- ...Senior Contracts Specialist M Force Partners is seeking an experienced Senior Contracts Specialist to support contract development, sourcing initiatives, and supplier management for a growing operations team in Henderson, NV. This Senior Contracts Specialist role is...Ongoing contractContract workWork at office
M Force Recruiting
Henderson, NV4 days ago - ...Independent Insurance Claims Adjuster Opportunity Is it time for a career change? Independent insurance claims adjusters needed now! Are you ready to embark on a dynamic and in-demand career as an independent insurance claims adjuster? This is your chance to join a...
MileHigh Adjusters Houston
Henderson, NV13 hours ago $22.84 - $29.57 per hour
..., as well as directly to consumers. Job Description National General Insurance is currently hiring for an auto Telephone Claims Adjuster Trainee. The Claims Inside Auto Trainee is responsible for investigating and confirming the facts of loss for automobile...Contract workTraineeshipCurrently hiringWork at officeWork from homeVisa sponsorshipWork visaMonday to FridayAllstate
Henderson, NV1 day ago$60.8k - $76k
...highly motivated individuals on high-performance teams? Join WWT today! Why should you join the SCLO Team? As a Service Contract Specialist with WWT, you will serve a critical role within our Service Contract & Licensing Operations team and interact directly with...Full timeContract workWork experience placementRemote workShift workWorld Wide Technology
Henderson, NV13 hours ago- HealthMarkets Overview If youre looking for an exciting opportunity where you can change peoples lives and achieve financial success as an independent insurance agent, youve come to the right place. Becoming an independent insurance agent with HealthMarkets is an ...For contractorsSelf employment
HealthMarkets
Henderson, NV5 days ago $70k
Benefits: Bonus based on performance Company parties Competitive salary Opportunity for advancement Paid time off Parental leave Training & development Rian Kilgoar-Chin Insurance Agency in Henderson/Las Vegas is hiring Insurance Sales Representatives...Rian Kilgoar-Chin Insurance And Financial Services, LLC
Henderson, NV20 hours ago- US Oncology Inc. is seeking a Clinical Insurance Reviewer based in Southern Nevada to assess imaging and treatment orders according to reimbursement guidelines. The role involves working closely with medical staff to facilitate patient care through effective communication...Remote work
US Oncology
Henderson, NV13 hours ago - ...Comprehensive Cancer Centers of Nevada is seeking a remote Insurance Specialist/AR Follow Up located in Southern Nevada (Las Vegas, Henderson,... .... Demonstrate knowledge of state, federal, and third-party claims processing required. Demonstrate knowledge of state &...Work at officeRemote workShift work
US Oncology Network-wide Career Opportunities
Henderson, NV20 hours ago - ...US Oncology Inc. is looking for a remote Insurance Specialist/AR Follow Up in Southern Nevada. This role involves ensuring payer and patient accounts are current and performing collection activities. Candidates should have a high school diploma and at least two years...Remote work
US Oncology
Henderson, NV4 days ago - ...Comprehensive Cancer Centers of Nevada is seeking a remote Insurance Specialist / AR Follow Up located in Southern Nevada. You will be... ...least two years of medical billing experience and knowledge of claims processing. The position emphasizes excellent customer service,...Remote work
US Oncology Network-wide Career Opportunities
Henderson, NV4 days ago - Overview InsuraTec Services Group is seeking driven and passionate individuals to join our growing remote sales team. As a TeleSales Representative, you’ll play an important role in helping clients secure their financial future through personalized life insurance solutions...Remote jobFlexible hours
$80k - $90k
Job Description Job Description Join SmartFinancial: Empowering Insurers with Cutting-Edge Technology Welcome to SmartFinancial, where our mission is clear: to drive growth and success for insurance agencies through our industry-leading technology! Voted one...Hourly payWork at officeRemote workAll shiftsMonday to FridaySmartFinancial
Henderson, NV5 days ago- General Summary The Vehicle Condition Assessor (VCA) position is responsible for delivering exceptional customer service by accurately collecting, recording, and communicating information about customer appraisals to Buyers, Sr. Buyers and Purchasing Managers for analysis...Contract workWork at officeFlexible hoursNight shift
- ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community...Work experience placementLocal area
ArchWell Health
Henderson, NV21 hours ago - Job Summary: The Administrative Assistant will interact with local shops, field employees and corporate office to coordinate activities and schedules. Duties/Responsibilities: Coordinates daily schedules between local shops and corporate office in Sanford...Work at officeLocal area
Strada Electric & Security
Henderson, NV3 days ago - Administrative Assistant Helix Electric was founded in 1985 and is now one of the nation's largest and most successful electrical contracting companies. Our commitment to empowering people and powering projects is realized by our exceptional team of dedicated and highly...Work at office
Helix Electric
Henderson, NV1 day ago - Job Description Job Description The Commercial HVAC&R Technician plays a crucial role in maintaining and servicing heating, ventilation, air conditioning, and refrigeration systems in commercial settings. This position requires a skilled professional adept at diagnosing...
INDOOR COMFORT SERVICES
Henderson, NV28 days ago $7.25 per hour
Work From Home Call Center Sales Agent (Texas Residents Only) job at OnPoint CX Solutions LLC. Henderson, NV. OnPoint CX Solutions is hiring Remote Call Center Sales Agents in Texas! If you’re motivated, competitive, and looking for a work-from-home sales role with weekly...Hourly payWeekly payWork at officeRemote workWork from homeMonday to Friday- Job Posting Count Team Attendant (Asistente de equipo de recuento) Protect the Company's assets, and account for all funds related to slot revenue. Pull, transport and count coin and token drops from slot machines in a timely, efficient and cost effective manner....Part time
Station Casinos
Henderson, NV2 days ago - Bonus Features of working with us: Zoom Dials wherever you are to work with Top Producers. Listen in on how they call and close clients. Have them listen to you and get feedback for FREE. Too many vendors for warm leads. Digital leads, direct mail, live transfers and ...Monday to Friday
- HealthMarkets, Inc. is seeking experienced independent insurance agents in Henderson, Nevada. This position allows you to leverage your 4-5 years of experience to grow your own business while making a significant impact in clients' lives. HealthMarkets offers extensive ...
- HealthMarkets Overview If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent insurance agent with HealthMarkets is an opportunity...Start working today
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Specialist-WC. Be the first to apply!
Related searches