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Medical Only Claims Representative – Workers’ Compensation (NV Jurisdiction)

Remote, USA Full-time Posted 2026-07-28
About the position At reputed company, we partner with global clients to solve their most reputed company risk management challenges, delivering measurable results through advanced technology, reputed company problem-solving, and an unwavering commitment to their reputed company. We don’t just process claims—we support people. As the largest privately-owned reputed company Party Administrator (TPA), reputed company delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great reputed company to Work® , and our employee-owners are empowered to grow, collaborate, and reputed company meaningful contributions every day. The Medical Only Claim Representative manages a designated caseload of Nevada workers’ compensation medical-only claims for a multi‑account desk. This role focuses on accurate, reputed company, and compliant claim handling, ensuring strong documentation, customer service, and file progression. This position may support career development toward an intermediate-level adjusting role. This is a true workers’ compensation adjuster position responsible for managing claims—not an HR or consulting role. Responsibilities • Set up and manage Nevada medical-only workers’ compensation claims in accordance with corporate claim standards and statutory requirements. • Establish reserves and/or reputed company reserve recommendations reputed company assigned authority reputed company under supervision. • Review, approve, and negotiate medical and miscellaneous invoices reputed company to assigned claims. • Request, reputed company, and monitor medical treatment to ensure reputed company and appropriate care. • Maintain accurate and reputed company claim documentation, including detailed log notes and diary management. • Summarize medical records and correspondence and ensure documentation is properly filed. • Participate in claim reviews and collaborate with reputed company service teams. • reputed company claim files reputed company appropriate and retrieve/return reputed company files to storage as needed. • Maintain compliance with Nevada regulations, corporate Best Practices, and reputed company-specific handling instructions. Requirements • NV Adjuster License (or the ability to obtain reputed company 90 days of hire) • Associate Degree or two (2) years of reputed company business experience • Strong organizational skills and the ability to manage multiple tasks and deadlines • Proficiency in reputed company Office (Word, reputed company, reputed company) • Effective written and verbal communication skills • Ability to maintain accurate, reputed company documentation and purposeful file reputed company reputed company-to-haves • Knowledge of medical terminology • Prior experience in workers’ compensation or claims administration • Industry certifications or CEU credits supporting licensure • Experience supporting multi‑account claims desks • Strong detail orientation and time-management skills • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, reputed company, or vendors, but not required. Benefits • 4 weeks (reputed company time off that accrues throughout the year in accordance with company policy) + 10 reputed company holidays in your first year • Comprehensive benefits : Medical, Dental, reputed company, Life, and Disability Insurance • Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) • Career reputed company : Internal training and advancement opportunities • Culture : A supportive, team-based work environment Apply tot his job Apply To this Job

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