NewRestaurant Manager - Chili's Chili'sRestaurant Manager - Chili'sLas Vegas, NV$61,000–$66,000 / yearFrom leading the team through a high-energy shift to exceeding Guest expectations on every occasion to ensuring we meet our financial responsibilities, Managers are the critical link to making it all happen. Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas!
Claims Director MindlanceClaims DirectorLas Vegas, NV$15,000–$16,000 / yearPRIMARY PURPOSE: To be responsible for the technical and operational functions for multiple offices, including direct operational responsibility where the manager resides; to handle the staffing and training needs within assigned offices, as well as staff development, career and succession planning; and to be responsible for budget preparation and profit and loss management for assigned office(s). Ten (10) years claims management experience or or equivalent combination of experience and education including five (5) years supervisory experience.
Senior Claims Manager, Remote - CA Workers'''' Compensation Great American Insurance CompanySenior Claims Manager, Remote - CA Workers'''' CompensationNevada, NVRemote$135,000–$145,000 / yeargain buy-in from our insureds regarding the direction each claim is taking, develop a strategy of how to best mitigate the potential loss through interaction with the claimant, and making sure that light duty jobs are available for quick return to work. We need someone who has the ability to help and direct when needed, a group of strong, carefully chosen senior level adjusters to: focus on fresh, creative, and quick approaches on every claim resulting in proactive claim resolutions.
Risk Claims Manager CrossCountry Freight Solutions DBA CCFSRisk Claims ManagerLas Vegas, NevadaMust have a thorough understanding of complex medical treatments, treatment outcome indications, tort, venue, and jurisdictional matters, as wells as highly developed investigative and analytical skills. • Management of property and auto damage, and workers compensation claims, handle serious losses, retain and direct defense counsel, attend mediations and depositions when needed.
Commercial Claims Strategy Manager WCF InsuranceCommercial Claims Strategy ManagerLas Vegas, NV$101,000–$125,000 / yearThis role leads training, strategy, and compliance efforts for WCF's commercial claims operation, helping ensure consistent claim handling, strong service, and continuous process improvement. WCF Insurance, an "A" rated carrier growing throughout the western states, has an immediate opening for a Commercial Claims Strategy Manager to join our Claims Strategy team.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerLas Vegas, NV$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Claims Team Manager, Workers Compensation Liberty Mutual Holding Company IncClaims Team Manager, Workers CompensationLas Vegas, NVLiberty Mutual has an immediate opening for a Claims Team Manager who will lead a team of Claims Specialists who manage a portfolio of Workers Compensation claims, for a dedicated account, to achieve the best possible outcomes and deliver an exceptional customer experience. Provides management oversight of claims files (non-litigated or litigated) within the unit, to include Manager Reviews on open inventory and reviews files to measure quality assurance discusses individual training and development needs.
WC Claims Supervisor CorVel CorpWC Claims SupervisorLas Vegas, NVRemote$73,345–$113,247 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Claims System Technical Project Manager III ICW GroupClaims System Technical Project Manager IIILas Vegas, NV$121,624.81–$217,710.99 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Insurance certification in one or more domain-specific areas (AINS, AIC, ARM, etc.), Project Management Professional (PMP), IT Service Management (ITIL), or Process Optimization (BPM, Six Sigma, Lean) certifications preferred.
Claims Supervisor University Health Services IncClaims SupervisorRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWLas Vegas, NVRemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Supervisor, Claims- Subrogation/Workers Compensation MagnaCareSupervisor, Claims- Subrogation/Workers CompensationLas Vegas, NVFull timeAbility to establish and maintain positive work relationships with clients, coworkers, members, providers, and customers. The Claims Supervisor is accountable for identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team.
Senior Claims Examiner, Management Liability, Markel Group IncSenior Claims Examiner, Management Liability,Henderson, NV$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct, and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal claims vendor management, disbursement and legal collections teams with defense counsel, bill payment, and collection issues.
Workers Compensation Claims Supervisor - NV GallagherWorkers Compensation Claims Supervisor - NVLas Vegas, NevadaRemote
Claims Auditor/Trainer University Health Services IncClaims Auditor/TrainerRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Claims Examiner II, Lawyers and Financial Advisors Markel Group IncClaims Examiner II, Lawyers and Financial AdvisorsHenderson, NVThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Senior Claims Specialist, Cyber Markel Group IncSenior Claims Specialist, CyberHenderson, NVThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. • Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Claims Support Administrator - Subrogation Athens ServicesClaims Support Administrator - SubrogationSun Valley, NevadaThis role will assist in identifying recovery opportunities, coordinating investigations, reviewing damages and liability exposure, and supporting the resolution of auto, workers’ compensation, and general liability claims. This position requires strong communication, documentation, and investigative skills, along with the ability to work cross-functionally with Operations, Maintenance, Accounting, vendors, claimants, and third-party partners.
Claims Examiner 1 Renown HealthClaims Examiner 1Reno, NVLicense(s): Certification(s): Computer / Typing: Must possess, or be able to obtain within 90 days,the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Minimum Qualifications: Requirements - Required and/or Preferred Education: Must have working-level knowledge of the English language, including reading, writing and speaking English.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalSparks, NVManage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits. Support the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTECarson City, NVRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTECarson City, NVRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Adjuster - Workers Compensation Apidel TechnologiesClaims Adjuster - Workers CompensationLas Vegas, NVRemoteContractorMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Dir Claims Apidel TechnologiesDir ClaimsLas Vegas, NVMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the worlds best brands.
Claims Specialist Recology IncClaims SpecialistNevada, NVThe role of Claims Specialist: Under general supervision, provides support in the administration of workers'''' compensation claims, auto liability claims, general liability claims, and the maintenance of driver qualification files. Assists in the management of workers'''' compensation claims, auto liability claims, and general liability claims, including intake, documentation, investigation, and follow-up to ensure timely resolution.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminLas Vegas, NVRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Coordinator I - REMOTE Ryder System IncClaims Coordinator I - REMOTECarson City, NVRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Security Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire.
ESIS Senior Claims Representative, WC Chubb LtdESIS Senior Claims Representative, WCLas Vegas, NV$78,100–$109,400 / yearESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Dir Claims ICONMA, LLCDir ClaimsLas Vegas, NV$150,000–$160,000 / yearClear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Ten (10) years claims management experience including three (3) years prior supervisory experience or equivalent combination of education and experience required.
Dir Claims MindlanceDir ClaimsLas Vegas, NV$150,000–$160,000 / hourPRIMARY PURPOSE: To be responsible for the technical and operational functions for multiple offices, including direct operational responsibility where the manager resides; to handle the staffing and training needs within assigned offices, as well as staff development, career and succession planning; and to be responsible for budget preparation and profit and loss management for assigned office(s). Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Dir Claims IconmaDir ClaimsLas Vegas, NVClear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Ten (10) years claims management experience including three (3) years prior supervisory experience or equivalent combination of education and experience required.
Director of Claims Jobs in USA, NV, Las Vegas | Rose International Job Rose InternationalDirector of Claims Jobs in USA, NV, Las Vegas | Rose International JobLas Vegas, NV$70–$77 / hourFull timeRose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Claims Adjuster - Workers Compensation MindlanceClaims Adjuster - Workers CompensationLas Vegas, NVRemote$39–$40 / hourMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
NewClaim Team Manager - Property Field Inspection State FarmClaim Team Manager - Property Field InspectionLas Vegas, Nevada$107,000–$142,000 / yearThis position is located in S Las Vegas, NV and responsible for leading a team who services these zip codes: 89002 89005 89007 89008 89011 89012 89014 89015 89017 89019 89021 89025 89027 89029 89030 89034 89036 89039 89040 89042 89043 89044 89046 89052 89054 89074 89081 89101 89102 89104 89106 89109 89110 89115 89119 89120 89121 89122 89123 89139 89141 89142 89156 89158 89169 89183 89191. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Senior Claims Specialist - WA and OR Jurisdiction Experience Liberty Mutual Holding Company IncSenior Claims Specialist - WA and OR Jurisdiction ExperienceLas Vegas, NVResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
Claims Representative (IAP) - Workers Compensation Training Program | Las Vegas, NV Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Las Vegas, NVLas Vegas, NVMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Clerk Crawford & CoClaims ClerkLas Vegas, NVAll resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
Technical Claims Specialist Liberty Mutual Holding Company IncTechnical Claims SpecialistLas Vegas, NVResponsibilities: Investigates claims to determine whether coverage is provided; includes analysis of potentially applicable policy provisions and drafting comprehensive coverage position letters, sometimes in conjunction with Home Office Legal coverage counsel. 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.
Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, NVRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistNVRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Senior Claims Specialist FLOAT CorVel CorpSenior Claims Specialist FLOATLas Vegas, NVRemote$25.48–$41.09 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Senior Claims Specialist CorVel CorpSenior Claims SpecialistLas Vegas, NV$61,053–$98,334 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Senior Claims Examiner, Medical & Healthcare Claims Markel Group IncSenior Claims Examiner, Medical & Healthcare ClaimsHenderson, NVThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Claims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepLas Vegas, NVRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerLas Vegas, NVRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerLas Vegas, NVRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsNVRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Director II, Claims Ops Transformation Elevance Health IncDirector II, Claims Ops TransformationLas Vegas, NV$170,940–$293,040 / yearMinimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years experience leading technology (application development, configuration, maintenance or implementation and support) teams and/or cross functional project (technology and operations) teams; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Proven experience leading large Claims Operations teams (100-200 employees) within a matrixed healthcare payer environment strongly preferred.
NewDirector, Commercial Liability Claims WCF InsuranceDirector, Commercial Liability ClaimsLas Vegas, NV$120,000–$160,000 / yearAnalyze claims data, loss trends, and emerging risks to drive continuous improvement and proactive risk mitigation. Partner cross-functionally with underwriting, actuarial, finance, and risk management to align claim strategies with business objectives.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystLas Vegas, NVRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.