Temporary Liability Claims Adjuster I

Claims Specialist - Workers’ Compensation (Nevada)
We’re looking for a sharp, proactive Claims Specialist to join our team.

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.

Conduct investigations of claims to confirm coverage and determine liability, compensability, and damages.

Verify policy coverage for submitted claims and notify the insured of any issues; Identify wage loss expenses and wage exposures on medical claims.

Document receipt and contents of medical reports and interact frequently with claimants to understand the nature and extent of injury and medical conditions.

Review and handle other correspondence within authority, including material from team members and/or clients.

Approve payments of medical bills on lost time disability claims within an area of payment authority up to $2,500 after compensability has been determined.

Evaluate medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.

Keep Team Manager informed verbatim and in writing of activities and problems within assigned area of responsibility; Knowledge of claims and familiarity with claims terminology gained through industry experience or specialized courses.

Demonstrated thorough working knowledge of claim processing and claim policies and procedures.

Demonstrated understanding of basic medical terminology and appropriate medical tests for claimed conditions.

Customer-focused approach, including the ability to identify and understand customer needs and interact 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.

Pay and incentive plans that recognize performance excellence.

Benefit programs that empower financial, physical, and mental wellness.

Training programs that promote continuous learning and career progression while enhancing job performance.

Sustainability programs that give back to the communities in which we live and work.

A culture of respect, collaboration, entrepreneurial spirit and inclusion.