Talent.com

Claims Jobs in Las Vegas, NV

Create a job alert for this search

Claims • las vegas nv

Last updated: 2 days ago

Claims Examiner II

MagnacareLas Vegas, NV, United States
Full-time

Claims Adjudication Specialist.Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication standards on a daily basis, ensuring compliance with quality, productivit... Show more

Senior Claims Specialist

CorVelLas Vegas, NV, United States
$61,053.00 yearly
Full-time

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards.This role works closely with case managers and attorneys, manages subrogati... Show more

SIU Claims Investigator - Retired Law Enforcement

Lemieux & Associates LLCLas Vegas, NV, USA
$25.00 hourly
Full-time
Quick Apply

Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims field investigators in the Las Vegas or surrounding area.This is a full-t... Show more

Dir Claims

MindlanceLas Vegas, NV
Full-time

Department: Talent Acquisition.Hybrid work schedule - days in office.Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems fo... Show more

Claims Specialist

Suffolk ConstructionLas Vegas, NV, United States
$78,000.00–$106,000.00 yearly
Full-time

The Claims Specialist under the supervision of the Director of Claims is responsible for proactively investigating, managing, and resolving Workers' Compensation, General Liability, and Automobile ... Show more

Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster

Liberty Mutual Insurance GroupLas Vegas, NV, United States
Full-time

At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling you to connect and... Show more

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsLas Vegas, NV, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Dir Claims

MindlanceLas Vegas, NV, United States
Full-time

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 world's best brands?.PRIMARY PURPOSE: To be responsible... Show more

Claims Examiner - RISK MANAGEMENT

Clark County School DistrictLas Vegas, NV, United States
Full-time

Workers Comp Claims Experience Preferred.Please ensure that you have read the job description and uploed the documentation required to qualify, including:.High School Diploma/Equivalent.Specific, v... Show more

Pre-Litigation Claims Case Manager

Moss Berg Injury LawyersLas Vegas, NV, US
$25.00 hourly
Full-time

Moss Berg Injury Lawyers, Personal Injury Law Firm.Plaintiff Personal Injury (Pre-Litigation).Moss Berg Injury Lawyers is seeking an experienced, compassionate, and highly organized.This role is id... Show more

Claims Examiner

SedgwickLas Vegas, NV, United States
Full-time

Primary Purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to en... Show more

Dir Claims

IconmaLas Vegas, NV, United States
Full-time

Our client, a Business Solutions company, is looking for a Dir Claims for their Las Vegas, NV/ Hybrid location.To be responsible for the technical and operational functions within assigned office(s... Show more

Workers’ Compensation Claims Careers – Representative, Examiner & Team Leads

SedgwickLas Vegas, Nevada, US
Full-time

By joining Sedgwick, you'll be part of something truly meaningful.It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected.We invite you to grow your c... Show more

Field Claims Specialist III, Property (Flex Claims Professional)

NationwideLas Vegas, NV, United States
Full-time

Field Claims Specialist, Property.If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating... Show more

Claims Examiner II

MagnaCareLas Vegas, NV, US
Full-time
Quick Apply

Primary Responsibilities Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication standards on a daily basis, ensuring compliance with q... Show more

Claims Appraiser - Auto Estimatics

State FarmLas Vegas, NV, United States
$63,089.65 yearly
Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

ESIS Claims Representative, WC

ChubbLas Vegas, NV, United States
$62,700.00 yearly
Full-time

The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for investigating and resolving claims promptly, equitably, and in accordance with established best practices.Clai... Show more

Multi-Line Claims Adjuster - Nevada

Provencher & Company, LLCLas Vegas, NV, US
Full-time
Quick Apply

A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area.There are many competing vendors in our marketpla... Show more

People also ask
The cities near Las Vegas, NV that boast the highest number of claims jobs are:
The highest-paying jobs are:
The top 10 cities are:
Claims Examiner II

Claims Examiner II

MagnacareLas Vegas, NV, United States
2 days ago
Job type
  • Full-time
Job description

Claims Adjudication Specialist

Primary Responsibilities

  • Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication standards on a daily basis, ensuring compliance with quality, productivity, and timeliness requirements.
  • Applying medical policies, contractual provisions, and operational procedures to ensure precise adjudication and adjustments.
  • Generate correspondence, such as letters and questionnaires, to gather additional information from customers and providers; may also initiate phone inquiries.
  • Collaborate with Customer Service to address and resolve customer inquiries and concerns effectively.
  • Research and resolve client inquiries and escalations in a timely manner, collaborating with internal teams as needed to ensure effective resolution.
  • Execute client-requested claim adjustments and provide clear, concise written responses to client inquiries within established deadlines.
  • Perform in-depth research on account receivables and spreadsheets that require claim adjustments, delivering thorough and clarifying responses to providers and clients.
  • Must be adaptable and willing to provide backup support across various departments and roles as needed
  • Responsible for processing all claim types including Professional and Facility claims
  • Perform Claim Adjustments as needed. Execute client-requested claim research and adjustments and provide clear, concise written responses to client inquiries within established deadlines

Essential Qualifications

  • Strong knowledge of healthcare contracts, medical terminology, and claims processing procedures.
  • Prior experience processing claims is required.
  • Minimum 1 year of experience in medical billing, claims adjudication, or a related role.
  • Excellent written and verbal communication skills, with the ability to manage inquiries professionally and efficiently.
  • Strong analytical skills with the ability to research and resolve complex claim issues.
  • Proficiency in Microsoft Office Suite, particularly Microsoft Word and Excel.
  • Ability to meet production and quality standards while managing multiple priorities.
  • Strong problem-solving skills and the ability to maintain professionalism under pressure.