NV Med Only Workers Compensation Claims Adjuster

Workers Compensation Claims Adjuster Nevada (Remote)

Job Summary
Seeking an experienced Workers Compensation Claims Adjuster to manage a diverse caseload for multiple accounts including both insurance and self-insured employers. This position requires strong knowledge of Nevada Workers Compensation law as well as experience handling litigated claims. The ideal candidate will possess excellent communication analytical and organizational skills with the ability to manage claims efficiently and deliver superior customer service.

Responsibilities

• Receive and review claim assignments confirming policy coverage and directing timely acknowledgments of claims.
• Manage a caseload of approximately 100 lost time claims including 15%20% litigated files.
• Oversee claims through the full life cycle ensuring timely and accurate handling in accordance with jurisdictional regulations.
• Investigate claims gather supporting documentation and determine compensability.
• Communicate effectively with claimants employers medical providers attorneys and other stakeholders.
• Develop and execute strategies to resolve claims promptly and within authority levels.
• Maintain detailed and accurate documentation within the claims management system.
• Ensure compliance with all applicable state laws and internal procedures.

Qualifications/Requirements

• Minimum of 3 years of Workers Compensation medical only claims handling experience.
• Active Nevada Adjuster License required.
• Must reside in the state of Nevada.
• Strong knowledge of Nevada Workers Compensation laws and regulations.
• Proven experience managing litigated claims.
• Excellent customer service and organizational skills.
• High school diploma required; bachelors degree preferred.

Compensation Package

• Compensation: $65-80K (depending on experience) bonus opportunities
• Benefits: Competitive benefits package 401(k) paid time off professional development opportunities and more.

Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.

#LI-PR1

#LI-MW1