- Manages an inventory of claims to evaluate compensability/liability.
- Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
- Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
- Assesses 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, refers claims to the subrogation group or Special Investigations Unit as appropriate.
- Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
- Performs other duties as assigned.
- Proven interpersonal, analytical and negotiation abilities required.
- Ability to provide information in a clear, concise manner, ability to build effective relationships.
- Bachelor`s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred.
- Licensing may be required in some states.
- California
- San Francisco
- Los Angeles
- Philadelphia
-
Workers Compensation Specialist
2 weeks ago
MGM Resorts International Las Vegas, United StatesThe SHOW comes alive at MGM Resorts International. Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industr Workers Compensation, Special ...
-
Workers Compensation Specialist
2 weeks ago
MGM Resorts International Las Vegas, United StatesThe SHOW comes alive at MGM Resorts International · Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Res ...
-
Workers Compensation Specialist
3 weeks ago
MGM Resorts International Las Vegas, United StatesBecome one of the stars behind The SHOW and become part of the world's most powerful entertainment brands. Our Company has one exciting mission: To entertain the human race. · PRIMARY PURPOSE: · The Workers' Compensation Specialist position is to manage and facilitate the smoot ...
-
Liberty Mutual las vegas, United StatesPay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these posi ...
-
Workers' Compensation Claims Analyst
3 weeks ago
MGM Resorts International Las Vegas, United StatesThe SHOW comes alive at MGM Resorts International · Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Res ...
-
Claims Representative Workers Compensation
3 weeks ago
Sedgwick Las Vegas, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
-
Claims Adjuster Workers Compensation
3 weeks ago
Gallagherbassett Las Vegas, United States** Claims Adjuster Workers Compensation** · **** · New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through th ...
-
Workers' Compensation Claims Adjuster
1 day ago
UnitedHealth Group Las Vegas, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more resp ...
-
Workers' Compensation Claims Adjuster
2 days ago
UnitedHealth Group Las Vegas, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more resp ...
-
Senior Workers Compensation Claims Adjuster
5 days ago
UnitedHealth Group Las Vegas, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more res ...
-
Senior Workers Compensation Claims Adjuster
2 weeks ago
Gallagher Las Vegas, United StatesAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organizat ...
-
Senior Workers Compensation Claims Adjuster
6 days ago
Gallagher Las Vegas, United StatesAbout Us: · Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organi ...
-
Senior Workers Compensation Claims Adjuster
1 week ago
Gallagher Las Vegas, United StatesAbout Us: · Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organi ...
-
correctional case worker specialist 2
2 weeks ago
Mesquite Mental Health Ctr Las Vegas, United StatesNevada Employee Action and Timekeeping System · APPROXIMATE ANNUAL SALARY - $66,043.44 to $98,783.28 PAY GRADE: 38 · For more information on benefit and retirement programs, please see the sections below. · In order to receive consideration, applicants must indicate their availab ...
-
Claims Assistant
3 weeks ago
GGRM Law Firm Las Vegas, United StatesNevada's Premier Injury Law Firm: Workers' Compensation Claims Assistant · Want to make a difference in the lives of those who have been injured? Enjoy interacting with clients? Come join our team at GGRM Law Firm and help us represent our clients with excellence and compassion. ...
-
Paralegal
3 weeks ago
GGRM Law Firm Las Vegas, United StatesNevada's Premier Injury Law Firm: Workers' Compensation Litigation Specialist · Want to make a difference in the lives of those who have been injured? Enjoy interacting with clients? Come join our team at GGRM Law Firm and help us represent our clients with excellence and compass ...
-
workers comp
1 week ago
Golden Entertainment, Inc. LAS VEGAS, United StatesAdministers, monitors and maintains leaves of absence (e.g. family/medical, union medical, personal, military and administrative), ADA, and workers' compensation claims for assigned properties. Ensures compliance with all state and federal laws, comp Worker, Coordinator, Retail, ...
-
Travel Nurse RN
4 days ago
LanceSoft Las Vegas, NV, United StatesLanceSoft is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Las Vegas, Nevada. · Job Description & Requirements · Specialty: Cardiac Cath Lab · Discipline: RN · Start Date: 06/24/2024 · Duration: 13 weeks · 40 hours per week · Shift: 10 hours, days · Emplo ...
-
Medical Claims Analyst
2 weeks ago
Aspirion Health Resources LLC Las Vegas, NV, United StatesWhat is Aspirion? · For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers' compensation, ...
-
CSTFA in Las Vegas, NV
3 weeks ago
Health Providers Choice Las Vegas, United States· CSTFA first assist · Must have at least 2 years of recent experience in specialty applying for. American Heart Association BLS Certification is required. ACLS, PALS, TNCC, ENPC, NIHSS, etc. may also be required for some units (Career Placement Specialist will specify). · PID: ...
Associate Claims Specialist-Workers Compensation - Las Vegas, United States - Liberty Mutual Insurance
Description
Pay Philosophy
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Description
The Workers Compensation Claims Specialist works within a Workers Compensation Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim's management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.
Training is a critical component to your success and that success starts with reliable attendance. 100% attendance and active engagement during training is mandatory.
T raining will require 2 weeks in our office in Plano., TX.
To be considered for this position, you are required to reside within 50 miles of Liberty Mutual's Rocklin, CA, Lake Oswego, OR, or Las Vegas, NV office. This position has a hybrid work schedule.
Responsibilities:
At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.
Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates-as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit :
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit:
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
