Workers Compensation Administrator jobs in Las Vegas, NV

Workers Compensation Administrator II administers the workers' compensation program for an organization. Implements a consistent process for recording, investigating, and reporting workers' compensation claims complying with laws and regulations. Being a Workers Compensation Administrator II prepares and submits required reporting and documentation to OSHA, state and local agencies, and other entities. Monitors all claims and liaises with the employees, managers, insurance representatives, union representatives, medical staff, and attorneys involved with a case. Additionally, Workers Compensation Administrator II communicates case status details and necessary information to involved parties, including notifications of hearings, outcomes, return to work, or restrictions. Performs periodic reviews of overall cases to identify trends. Maintains up-to-date knowledge of all regulations and laws for reporting workers' compensation. May coordinate or assist with safety programs focused on injury prevention or facilitate accommodations for workers. May require a bachelor's degree. Typically reports to a manager. The Workers Compensation Administrator II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Workers Compensation Administrator II typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Workers' Compensation Claim Adjuster
  • CCMSI
  • Las Vegas, NV OTHER
  • Overview

    At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.    

     

    Reasons you should consider a career with CCMSI:

      • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
      • Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
      • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
      • Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

     

    The Workers' Compensation Claim Consultant is responsible for the investigation and adjustment of assigned claims.  This position may be used as an advanced training position for consideration of promotion to a more senior level claim position.  Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

    Responsibilities

    • Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
    • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
    • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
    • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
    • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
    • Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
    • Assess and monitor subrogation claims for resolution.
    • Review and maintain personal diary on claim system.
    • Client satisfaction.
    • Prepare reports detailing claim status, payments and reserves, as requested.
    • Compute disability rates in accordance with state laws.
    • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
    • Prepare newsletter articles, as requested.
    • Provide notices of qualifying claims to excess/reinsurance carriers.
    • Handle more complex and involved claims than lower level claim positions with minimum supervision.
    • Conduct claim reviews and/or training sessions for designated clients, as requested.
    • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
    • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
    • Performs other duties as assigned.

    Qualifications

    Education and/or Experience

    Five or more years claims experience is required.

    Bachelor degree is preferred.

     

    Computer Skills

    Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.

     

    Certificates, Licenses, Registrations

    Adjuster's license may be required based upon jurisdiction

     

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

     

    Object Handling Categories

    Work requires the ability to lift/carry objects routinely as follows:

    • Light Lifting: No lifting of objects weighing more than 15 pounds on a regular basis.

     

    Other Physical Demands

    • Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity.
    • Work requires the ability to sit or stand up to 7.5 or more hours at a time.
    • Work requires sufficient auditory and visual acuity to interact with others.

          

    CORE VALUES & PRINCIPLES

    Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

     

    CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.

     

  • 17 Days Ago

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Experienced Workers Compensation Claims Specialist
  • Liberty Mutual
  • Las Vegas, NV FULL_TIME
  • 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...
  • 3 Days Ago

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Workers' Compensation Claim Adjuster (CA Claims) (Remote)
  • CCMSI
  • Las Vegas, NV OTHER
  • Overview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of ...
  • 19 Days Ago

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Pain Management Marketing Liaison/ Workers Compensation Specialist
  • Velazquez Pain Relief Center
  • Las Vegas, NV FULL_TIME
  • Velazquez Pain Relief Center is looking for a full-time or part-time Marketing Liaison to join our practice. The primary responsibility is to connect our pain management services with the individuals ...
  • 10 Days Ago

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Workers Compensation Medical Only Examiner - Las Vegas, NV
  • UnitedHealth Group
  • Las Vegas, NV FULL_TIME
  • At 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 f...
  • 15 Days Ago

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Registered Nurse (RN)
  • United Energy Workers Healthcare
  • Las Vegas, NV CONTRACTOR
  • We are seeking a Registered Nurse independent contractor! The contractor nurse must be able to provide complete assessments, provide education, and assist with ADL’S as needed. The contractor nurse co...
  • 18 Days Ago

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0 Workers Compensation Administrator jobs found in Las Vegas, NV area

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Human Resources Business Partner (Las Vegas or Atlanta, GA 3 days in office)
  • IPS- Integrated Practice Solutions
  • Las Vegas, NV
  • Our Company: With a legacy spanning over 20 years, Integrated Practice Solutions is the market leader in practice manage...
  • 3/28/2024 12:00:00 AM

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EMT-i, EMT-a, EMT-p
  • Octapharma Plasma
  • Las Vegas, NV
  • Looking to Strengthen your positive impact on patients' lives, your level of excitement at work, and your compensation? ...
  • 3/28/2024 12:00:00 AM

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Senior Director of Development, Kirk Kerkorian School of Medicine, Division of Philanthropy and Alumni Engagement [R0139498]
  • University of Nevada, Las Vegas
  • Las Vegas, NV
  • The University of Nevada, Las Vegas (UNLV) appreciates your interest in employment. We ask that you keep in mind the fol...
  • 3/28/2024 12:00:00 AM

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Human Resource Manager
  • WOMEN'S RESOURCE MEDICAL CENTERS OF SOUTHERN NEVADA INC
  • Las Vegas, NV
  • Job Description Job Description Human Resource Manager is responsible for all activity required for professional functio...
  • 3/27/2024 12:00:00 AM

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DIRECTOR HUMAN RESOURCES
  • UHS
  • Henderson, NV
  • Responsibilities West Henderson Hospital is currently under construction and is expected to open in late 2024. When it d...
  • 3/27/2024 12:00:00 AM

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Medical Equipment Customer Service Representative
  • Rotech Healthcare Inc.
  • Las Vegas, NV
  • OVERVIEW: Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound car...
  • 3/27/2024 12:00:00 AM

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Human Resources Business Partner
  • Sunbit
  • Las Vegas, NV
  • TITLE: Human Resources Business Partner (HRBP) LOCATION: Las Vegas, NV REPORTS TO: Head of HR and People Operations - US...
  • 3/26/2024 12:00:00 AM

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Emergency Medicine Physician in Las Vegas with Valley Health System
  • Envision Healthcare
  • Las Vegas, NV
  • Job Details Full Time: Estimated compensation is minimum of $352,000.00/annually, and maximum is $352,800.00/annually. P...
  • 3/26/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers Compensation Administrator jobs
$68,085 to $93,788
Las Vegas, Nevada area prices
were up 2.5% from a year ago

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