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![MGM Resorts International](https://media.trabajo.org/img/noimg.jpg)
Workers' Compensation Claims Analyst
1 month ago
The SHOW comes alive at MGM Resorts International
Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Resorts, we seek individuals like YOU to create unique and show-stopping experiences for our guests.
THE JOB:
The primary purpose of the Workers' Compensation Claim analyst is to oversee the company's Nevada, Michigan, Ohio, Massachusetts, Maryland, New York, New Jersey and Mississippi Workers' Compensation claims handled by Third Party Administrators and act as a liaison between the company's domestic properties and the TPA adjusters to ensure the investigation and administration of all claims is completed and appropriate. The Workers' Compensation Claim Analyst also provides alerts to the Director of Workers' Compensation on claims with significant financial impact, maintains updated OSHA logs and provides proactive communication to injured workers.
THE DAY TO DAY:
Manage and serve as the company claim advocate for Worker's Compensation claims administered by TPAs nationwide.
Serve as the primary key contact with the TPAs, MGM department leaders, and the injured worker to ensure timely and appropriate administration of claims.
Supervise TPA administration for quality assurance, appropriate claim management, control of medical management services, and oversight of litigation expenses.
Carryout oversight and audit processes to monitor the TPA's adherence to their Best Practices and agreed upon Special Handling Instructions.
Oversee Worker's Compensation claims the handling of the Companies Nevada, Michigan, Ohio, Massachusetts, Maryland, New York, New Jersey and Mississippi Workers' Compensation claims reviewing notes in TPA Risk Management Systems including, but not limited to, data entry, claim reporting, appropriate medical management, reserving, timely claimant communication, documentation, litigation, settlement negotiations, and return to work protocol.
Works closely with the Director of Worker's Compensation in identifying trends and areas for program improvement.
Conduct and facilitate claim reviews on a quarterly basis with the TPA adjusters to ensure TPA compliance with MGM requirements and quality assurance standards.
Oversight of the TPA adjuster files for proper evidence and a plan for case resolution.
Identify cases that should resolve and work with the adjuster to resolve at the earliest opportunity.
Establishes a cadence of regular interactions with key TPA claims personnel to ensure alignment of expectations and strengthening of the partnership.
Works collaboratively with the TPA claims handlers to develop strategies for cost containment and claim resolution.
Responsible for collaborating with Company Return to Work Specialists and ADA Department to follow corporate guidelines regarding permanent restriction processes.
Provide education and training to departments as needed, aimed to reduce frequency of injuries.
Serve as a resource to the injured employee to assist in navigation of the Work Comp claims process.
Weekly management of Work Comp claims system in order to supply relevant data to OSHA 300 and 301 logs, in coloration with the Safety Department, to ensure compliance with all federal, state, and local reporting requirements.
Remains up to date of worker's compensation regulations, laws and ruling.
Other projects and tasks as necessary and required by the Director of Worker's Compensation, VP of Risk Management, and other Risk Management department leaders.
THE IDEAL CANDIDATE:
Bachelor's Degree or equivalent experience.
3+ Years of Prior Relevant Experience Working for a public company in the State of Nevada.
Skilled at various software including Word, Excel and PowerPoint, and analytics software.
CERTIFICATIONS, LICENSES, REGISTRATIONS:
Nevada State Worker's Compensation license
THE PERKS & BENEFITS:
Wellness incentive programs to help you stay healthy physically and mentally.
Access to company hotel, food and beverage, retail, and entertainment discounts as well as discounts with company partners on things like travel, electronics, online shopping, and more.
Professional and personal development through programs and networking opportunities
Are you ready to JOIN THE SHOW? Apply today
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