35 Results for

Claims Specialist Jobs in Las Vegas, NV

Jobs

Las Vegas, Nevada12 days ago

$75,000–$90,000 Per Year

Responsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

Las Vegas, NV30+ days ago

Remote

Full-time

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. 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.

Las Vegas, Nevada30+ days ago

Remote

Las Vegas, NV17 days ago

Full-time

Ability 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.

Las Vegas, NV30+ days ago

$18.93–$27.45 Per Hour

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims, in a timely and accurate manner.

Las Vegas, NV10 days ago

$20–$23 Per Hour

In this role, you’ll be the friendly voice and knowledgeable guide helping clients access essential products like incontinence supplies, urological items, and other personal care essentials—all delivered discreetly to their door. Following acceptance of any job offer, at the start of employment the employer will provide the federal government Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify is unable to verify your eligibility for employment this employer will provide written instructions to provide an opportunity to contact the appropriate agencies and resolve the discrepancy prior to taking any action against continued employment.

Henderson, Nevada7 days ago

Remote

Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine and non-routine account inquiries.

Henderson, Nevada7 days ago

Remote

Las Vegas, NV13 days ago

$17.13–$23.98 Per Hour

In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Las Vegas, NV30+ days ago

$23.41–$41.83 Per Hour

Positions in this function are responsible for the installation of assigned accounts, including, but not limited to structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents) and Microsoft Excel (ability to create, edit, save, and send documents).

Las Vegas, NV30+ days ago

$80,000–$90,000

In addition, this role requires someone who can navigate ambiguity, remain flexible as processes evolve, and bring strong subject matter expertise to help shape a best-in-class, “white glove” service approach that is efficient, seamless, and highly supportive to both employees and managers. Our STIIIZY product line is one of the best-selling cannabis brands in the market today and has claimed the title of the best-selling vape brand across all BDSA-tracked markets and best-selling brand overall in the California market!

New!

Las Vegas, NV4 days ago

$27–$30.50 Per Hour

We strongly believe (and our actions prove it!) that our people are our best asset, and we work every day to arm them with the knowledge and tools not just to get the job done, but to feel inspired and fearless while doing it. We know that bringing the best beauty products, services, tools, and experiences to our clients means finding, training, and engaging the absolute best talent in the industry.

Las Vegas, NV30+ days ago

High school diploma required; Associate's or Bachelor's degree in Business, Finance, or related field preferred Five (5) or more years of experience in default servicing, collections, loss mitigation, bankruptcy, or asset recovery within a financial institution Demonstrated experience managing complex delinquent loan portfolios, including real estate and consumer lending Experience working with legal counsel, court systems, and third-party recovery vendors. Through comprehensive knowledge of the default management lifecycle-from early-stage delinquency through legal recovery and asset liquidation-this position supports departmental continuity, assists with complex case resolution, and contributes directly to the Credit Union's financial stability and risk mitigation efforts.

Las Vegas, Nevada30+ days ago

$19–$22 Per Hour

The ideal candidate thrives in a fast-paced healthcare environment, understands both front-end and back-end billing workflows, and is committed to accuracy, collaboration, and continuous process improvement. This role plays a critical part in ensuring clean claim submission, efficient denial resolution, and optimal reimbursement across multiple payer lines of business.

Las Vegas, NV30+ days ago

$50,000–$75,000

This role involves working with insurance providers, finance companies, and clients, you'll ensure that claims are handled fairly and in accordance with legal requirements: Obtain repair estimates, photographs, evidence and documents related to the client’s property damage claim. This role involves advocating fiercely for clients to ensure their vehicles are repaired or properly compensated, while contributing to a strong, collaborative team environment.

Henderson, NV26 days ago

Prepare, analyze, and sort incoming mail and courier packages to ensure accurate indexing and timely document availability. Operate and maintain document services equipment including printers, scanners, cutters, and related machinery.

Las Vegas, NV26 days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Las Vegas, NV30+ days ago

In this role, the candidate will manage a dynamic portfolio of assigned cases, provide coverage for team members during absences, and deliver exceptional customer service while meeting established performance metrics. The successful candidate will possess experience working with personal injury cases and demonstrate strong negotiation skills, contract knowledge, and excellent verbal and written communication abilities.

Las Vegas, NV25 days ago

Remote

Full-time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

Las Vegas, NV25 days ago

Full-time

The incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.

Las Vegas, NV25 days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

Las Vegas, NV14 days ago

It runs over 80 travel center locations, around 180 QSRs, and 30+ convenience stores, often partnering with or franchising popular restaurant brands inside its TravelCenters of America (TA) sites and other locations. Assist in maintaining records of sales reporting and labor tracking to contribute to the rapid growth of the company to further the growth of the organization and increase in sales and customer satisfaction across multiple franchised QSR (quick service restaurant) brands nationwide.

Las Vegas, NV30+ days ago

Full-time

We believe by focusing on data-driven and sustainable ways of optimizing outcomes within a culture that promotes evidence, collaboration and leadership we can and will achieve better healthcare for women and babies. The ideal candidate will be responsible for verifying patient benefits, obtaining prior authorizations for procedures and medications, and ensuring compliance with insurance guidelines.

Las Vegas, Nevada11 days ago

The Repossession Specialist will be responsible for liquidating all repossessed assets of the credit union and monitoring the performance of repo agents and outside vendors to ensure goals are achieved in the most cost-effective manner. • Submits all possible Dealer refunds, ensures refunds are received in a timely manner, sends for processing.

Las Vegas, NV20 days ago

Contractor

While performing the duties of this job the employee is regularly required to climb, bend, stretch, walk, sit use hands to handle or feel; frequently use fingers to type; talk and hear; occasionally stand, kneel, stoop, crouch, bend, twist or reach out; may require lifting or moving 50+ lbs. GC2IT is seeking a detail-oriented Logistics Specialist to support lifecycle sustainment, shipping coordination, inventory tracking, warranty administration, and deployment logistics for an international Command, Control, Communications, and Intelligence (C3i) modernization program.

Las Vegas, NV30+ days ago

$23.41–$41.83 Per Hour

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.

New!

Las Vegas, NV5 days ago

Part-time

Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed. To perform the job successfully, an individual should demonstrate the following competencies: Continuous Learning - Assesses own strengths and weaknesses; seeks feedback to improve performance; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.

Las Vegas, Nevada30+ days ago

Under direct supervision, coordinate matters of routine labor relations such as the application and processing of collective bargaining agreements; the processing of formal grievances; communications with labor unions relating to other disputes and questions that arise between unions and management; responses to union information requests; discipline of bargaining unit members; and compliance with applicable labor laws. Overview: It is the responsibility of the HR Specialist – Employee Relations to provide administrative clerical support and under direct management supervision, act as liaison on a range of employee and labor relations matters including interpretation and administration of collective bargaining agreements, compliance with labor laws, and resolution of disputes between workers and managers, or coordinate grievance procedures to handle employee complaints.

LAS VEGAS, NV30+ days ago

Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. + In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day.

Las Vegas, NV30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Las Vegas, NV21 days ago

$100,000–$130,000 Per Year

WCF, an "A" rated insurance carrier growing across the western United States, is seeking an experienced claims professional to join our Commercial Property team as a Large Loss Property General Adjuster. The ideal candidate for this position will have: At least eight years of progressive commercial property claims adjusting experience, with a strong emphasis on large loss or complex claims.

Las Vegas, Nevada24 days ago

Las Vegas, NV30+ days ago

Collaborate with internal departments, such as case managers, investigators, and administrative staff, to gather necessary information and support case management efforts. We are looking for an individual who is outgoing, focused, able to manage a high volume and time sensitive workflow effectively and efficiently.

New!

Las Vegas, NV6 days ago

$250,000–$280,000 Per Year

At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure.

Las Vegas, Nevada7 days ago

Oversee daily loss recovery operations, including reviewing, approving, and assigning defaulted auto loans to recovery agents in accordance with credit union and state guidelines, monitor vendor progress and timelines. Oversees the end-to-end asset recovery process for defaulted loan accounts, including repossession assignment, vendor management, collateral disposition, and post-sale resolution activities.

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Claims Specialist Jobs in Las Vegas, NV

Jobs

Workers' Compensation Claim SpecialistCCMSI

Sr Claims ReviewerTriWest Healthcare Alliance

Workers Compensation Claims Trainee - NevadaGallagher

Supervisor, Claims- Subrogation/Workers CompensationMagnaCare

Claim Examiner 1Intermountain Health

Customer Service SpecialistActivStyle

Insurance Specialist/AR Follow Up - Remote (Southern Nevada Only)Comprehensive Cancer Centers of Nevada

Insurance Specialist/AR Follow Up (Remote/Southern Nevada Only)Comprehensive Cancer Centers of Nevada

Medical Billing SpecialistHCA Healthcare

Employer Installation SpecialistUnitedHealth Group

Senior Workers Compensation SpecialistSTIIIZY

Human Resources Specialist (Las Vegas, NV, US, 50353406)Sephora

Asset Quality & Recovery SpecialistSilver State Schools Credit Union

Medical Billing SpecialistAstrana Health, Inc.

Auto Property Damage SpecialistTORKLAW

Document SpecialistBrewer Global

Reporting SpecialistMaximus

Case Resolution SpecialistLibra Solutions

Program Integrity Clinical Specialist (RN or PA Req'd)TriWest Healthcare Alliance

Field Support SpecialistTriWest Healthcare Alliance

Provider Data SpecialistTriWest Healthcare Alliance

Quick Service Restaurant Support SpecialistLV Petroleum

MyOBGYN Centennial Hills Eligibility and Prior Authorization SpecialistHera Women's Health

Repossession SpecialistCommunityAmerica Credit Union

Logistics SpecialistGlobal C2 Integration Technologies

Senior Business Systems SpecialistUnitedHealth Group

Guest Relations SpecialistPlanet 13

HR Specialist - Employee & Labor RelationsGolden Nugget

Inventory SpecialistWalgreens

FEMA Disaster Management AccountantCDM Smith

Large Loss Property General AdjusterWCF Insurance

SIU InvestigatorAllied Universal

Personal Injury Attorney - Las Vegas, NevadaRichard Harris Law Firm

Center Medical DirectorConcentra

Repossession ManagerCommunityAmerica Credit Union

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