Jobs for People with MS: National MS Society

Description

Job Description:

We are seeking a Remote Workers' Compensation Claims Examiner licensed in Nevada to join our client's insurance team for a contract assignment. In this role, you will manage all aspects of a complex claims inventory with a focus on Nevada state requirements. This position demands a thorough understanding of Nevada workers' compensation laws and regulations, along with the necessary Nevada state licenses.

Essential Duties and Responsibilities:

• Claims Management: Handle a variety of Nevada workers' compensation claims, ensuring timely, accurate, and compliant processing.

• Claims Investigation: Promptly investigate claims to determine exposure, collaborating with experts to gather and assess information specific to Nevada regulations.

• Resolution Strategy: Use resolution tactics such as mediation, negotiation, denial, or litigation to proactively manage claims, adhering to Nevada workers' compensation guidelines.

• Compliance: Operate strictly within Nevada state regulations and internal policies to ensure proper claims handling and settlement.

• Litigation Management: Work closely with defense counsel through the litigation process, ensuring legal fees and costs align with Nevada litigation guidelines.

• Customer Service: Provide exceptional customer service through clear and timely communication with policyholders, agents, attorneys, and witnesses, especially regarding Nevada claims.

• Cross-functional Collaboration: Work with other departments to discuss processes and projects, contributing to a collaborative team environment.

• Subject Matter Expertise: Serve as an expert in Nevada workers' compensation claims processes, mentoring and training less experienced team members.

Nevada Workers’ Compensation Specific Responsibilities:

• Benefit Administration: Administer and approve timely and appropriate benefits to injured workers in Nevada, managing payments in accordance with Nevada rules and company policies.

• Reserve Management: Establish and adjust reserves in a timely manner, ensuring compliance with Nevada state policies.

• Claims Resolution: Resolve claims fairly, equitably, and in line with Nevada state laws, ensuring that injured workers receive the benefits to which they are entitled.

• Reporting: Prepare and present claims status reports for both internal and external stakeholders, with a focus on Nevada claims.

Additional Responsibilities:

• Mentor and provide training to less experienced team members, focusing on Nevada-specific claims processes.

• Offer knowledge transfer and expert advice on best practices across the department, emphasizing Nevada workers' compensation regulations.

• Continuously update technical skills through ongoing training and staying current on Nevada workers' compensation case law.

  Requirements

Certificates, Licenses, and Registrations:

• Nevada Workers' Compensation License (REQUIRED).

• Workers' Compensation Certification (WCCA/WCCP) preferred.

• Additional state adjuster licenses may be required within a designated timeframe.

Knowledge and Skills:

• Strong understanding of Nevada workers' compensation laws and jurisdictional requirements.

• Excellent verbal communication, time management, attention to detail, and organizational skills.

• Ability to analyze and interpret financial, legal, and technical documents in line with Nevada workers' compensation laws.

• Proficient in writing reports, business correspondence, and policy manuals.

• Ability to effectively respond to inquiries from customers, regulatory agencies, or the business community.

• Strong technical skills with the ability to adapt to new technology and industry changes.

If you are a skilled Nevada-licensed Workers' Compensation Claims Examiner with expertise in handling complex claims and providing outstanding customer service, we encourage you to apply for this remote opportunity.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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