Workers' Compensation Claims Specialist
4 weeks ago
Full-time
Description:
As a Workers' Compensation Claims Specialist at GGRM Law Firm, you will play a vital role in the lives of those who have been injured. This position requires excellent communication skills, a commitment to providing compassionate service, and a thorough understanding of legal principles and government regulations.
GGRM Law Firm has been a cornerstone of the Las Vegas community for over 50 years, dedicated to serving injured Nevadans by achieving maximum recovery and restoration. As an employee, you will be part of a supportive and team-oriented workplace where your contributions are valued and your professional growth is encouraged. We offer a flexible schedule that allows employees to choose their arrival time within a two-hour window, supporting a balance of personal and professional commitments.
Essential Duties and Responsibilities:
• Processing assigned claims in accordance with Firm policies and procedures
• Ensuring case management software (CMS) feed is cleared daily
• Completing all assigned tasks by relevant deadlines
• Documenting all relevant activity in CMS properly
• Ensuring emails are cleared daily
• Completing monthly Meaningful Client Communication (MCC) and serving as the primary point of contact for the client on claim management and litigation issues
• Communicating with insurance adjusters, third party administrators, medical providers, and other relevant parties as directed by the assigned attorney
• Meeting with the assigned attorney on a regular basis to ensure each claim is reviewed at least once per month
• Meeting with the assigned Attorney on a regular basis to assist with issues in litigation
• Working with the client and the assigned attorney to identify and address any issues that arise
• Training Claims Specialists as assigned
• Performing other duties as assigned
Requirements:
• Bilingual in English and Spanish
• High school diploma or equivalent
• Minimum of six months of workers' compensation claims experience or other related claims experience
• Thorough knowledge of legal principles, legal research techniques, legal terminology, and government regulations
• Excellent oral and written communication skills
• Excellent interpersonal, analytical, and critical thinking skills
• Proficient with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook
• Ability to operate basic office equipment such as a copy machine, fax machine, printer, scanner, computer
• Ability to work with databases and online technological platforms
• Ability to be detail-oriented, diligent, and flexible
• Ability to handle conflicting time demands and focus on task completion with little direction or need for supervisory follow-up
• Proficient command of the English language in both oral and written format
• Ability to work and maintain patience with diversified individuals of various backgrounds and professional competencies
• Committed to maintaining integrity and confidentiality on behalf of clients and the Firm
Preferred Qualifications:
• Associate degree or Certificate program in Legal Studies
• Authorized Nevada Notary
GGRM Law Firm provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
-
Workers Compensation Attorney
1 month ago
Las Vegas, Nevada, United States Shook and Stone CHTD Full timeJob Opportunity at Shook & Stone CHTDWe are seeking a skilled and dedicated attorney to join our team at Shook & Stone CHTD in Las Vegas, Nevada. The ideal candidate will have a strong background in workers compensation law and a passion for delivering exceptional client service.Key ResponsibilitiesManage a caseload of workers compensation cases from...
-
Claims Examiner
4 weeks ago
Las Vegas, Nevada, United States Sedgwick Full timeAbout the Role:Sedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing mid-level Workers Compensation claims on behalf of our valued clients. Your goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations, industry best...
-
Medical Lien Specialist for Claims Management
3 weeks ago
Las Vegas, Nevada, United States Pouya Mohajer M D LTD Full timeJob OverviewPouya Mohajer M D LTD is seeking a skilled Medical Lien Specialist to join our team. This role involves managing and processing medical liens associated with personal injury and workers' compensation cases.Key ResponsibilitiesMedical Lien ManagementOversee all aspects of medical lien case processing, including creation, tracking, and...
-
Medical Insurance Claims Specialist
4 weeks ago
Las Vegas, Nevada, United States Steinberg Diagnostic Medical Imaging Full timeJob SummaryWe are seeking a highly skilled Medical Insurance Claims Specialist to join our team at Steinberg Diagnostic Medical Imaging. As a Medical Insurance Claims Specialist, you will be responsible for following up on claims submitted to insurance companies, processing explanations of payments received from insurance companies and patients, and working...
-
Automotive Warranty Claims Specialist
4 weeks ago
Las Vegas, Nevada, United States Gaudin Motor Company Full timeJob Title:Auto Warranty Claims SpecialistAt Gaudin Motor Company, we are seeking a highly skilled Auto Warranty Claims Specialist to join our team. The successful candidate will be responsible for preparing, recording, and submitting warranty claims to the factory and/or distributor, as well as reconciling them accordingly.Key Responsibilities:Process...
-
Claims Examiner
4 weeks ago
Las Vegas, Nevada, United States Sedgwick Full timeAt Sedgwick, we're committed to taking care of people, and that starts with taking care of our colleagues.As a Claims Examiner - Liability / Litigation Specialist, you'll play a critical role in analyzing complex, litigated commercial General Liability / Bodily Injury claims on behalf of our valued clients.With a focus on empathy, accountability,...
-
Medical Claims Specialist
4 weeks ago
Las Vegas, Nevada, United States Sedgwick Full timeAt Sedgwick, we're committed to providing exceptional care to our clients and their customers. As a Medical Claims Processor, you'll play a vital role in ensuring that complex claims are handled efficiently and effectively.Key Responsibilities:Analyze highly complex, litigated, commercial General Liability / Bodily Injury claims to determine benefits...
-
Medical Claims Examiner
4 weeks ago
Las Vegas, Nevada, United States VetJobs Full timeAt VetJobs, we're committed to providing exceptional service to our customers and communities. As a Medical Claims Processor, you'll play a critical role in handling Personal and Business Insurance Auto Bodily Injury claims from initial notice of loss through resolution and settlement.The ideal candidate will have a strong understanding of claims handling...
-
Construction Liability Claim Representative
4 weeks ago
Las Vegas, Nevada, United States Travelers Insurance Full timeJob SummaryWe are seeking a highly skilled Construction Liability Claim Representative to join our team at Travelers Insurance. As a key member of our claims department, you will be responsible for investigating, evaluating, and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims.Key ResponsibilitiesDirectly handle...
-
Senior Benefits Specialist
4 weeks ago
Las Vegas, Nevada, United States UNITE HERE HEALTH Full timeJob SummaryUNITE HERE HEALTH is seeking a highly skilled Senior Benefits Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring the compliance of our health plans with legal requirements.Key ResponsibilitiesUpdate plan documentation and notices for the Las Vegas health plans to support the Fund's...
-
Medical Claims Processor
4 weeks ago
Las Vegas, Nevada, United States Libra Solutions Full timeJob SummaryWe are seeking a highly skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for compiling, verifying, and sorting information from medical provider bills to prepare source data for computer entry. You will review data for deficiencies or errors, correct incompatibilities, and review output....
-
Safety and Risk Management Professional
4 weeks ago
Las Vegas, Nevada, United States Martin-Brower Full timeWe consider a range of factors when making individual compensation decisions, including skill sets, experience, and training, as well as other business needs.Job SummaryThis role is responsible for mitigating risk and promoting safety and wellness programs and services within the organization.Key ResponsibilitiesInitiate and implement safety and prevention...
-
Pharmacy Technician
4 weeks ago
Las Vegas, Nevada, United States Optum Full timeAt Optum, we're committed to helping people live healthier lives and making the health system work better for everyone.As a Pharmacy Technician, you'll play a critical role in ensuring our patients receive the care they need. Your responsibilities will include:Resolving claims issues with patients, pharmacists, and doctor's officesFulfilling prescription...
-
Quality Assurance Specialist
4 weeks ago
Las Vegas, Nevada, United States Chili's Grill & Bar Full timeRole OverviewAt Chili's Grill & Bar, we are committed to delivering exceptional guest experiences. As a Quality Assurance Specialist, you will play a critical role in ensuring that our food meets the highest standards of quality and presentation.ResponsibilitiesEnsure food is prepared to company standards and specificationsKeep food orders continuously...
-
Medical Claims Specialist
1 month ago
North Las Vegas, Nevada, United States SNOHC Full timeJob OverviewWe are seeking a highly skilled Medical Biller to contribute to the success of our team at SNOHC. As a Medical Biller, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.Key ResponsibilitiesProcess and manage medical claims through private insurance and Medicaid/Medicare/Medicare Advantage.Coordinate...
-
Billing Specialist
4 weeks ago
Las Vegas, Nevada, United States TotalMed Staffing Full timeJob SummaryAs a skilled Billing Specialist at TotalMed Staffing, you will be responsible for processing and managing medical claims with accuracy and efficiency. This role requires strong analytical and communication skills, as well as the ability to work in a fast-paced environment.Key Responsibilities:Process and manage medical claims in a timely and...
-
Medical Billing Specialist
4 weeks ago
Las Vegas, Nevada, United States Universal Health Services Full timeJob SummaryWe are seeking a skilled Medical Billing Specialist to join our team at Universal Health Services. As a Medical Billing Specialist, you will be responsible for processing and managing medical claims, ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesProcess and manage medical claims, including reviewing and verifying...
-
Personal Injury Case Manager
4 weeks ago
Las Vegas, Nevada, United States Jobot Full timeJob SummaryJobot is seeking a highly skilled Personal Injury Case Manager to join our team in Las Vegas or Reno. As a Personal Injury Case Manager, you will be responsible for managing a caseload of personal injury claims, including gathering and organizing documentation, medical records, and evidence. You will also assist attorneys in preparing cases for...
-
Human Resources Specialist
4 weeks ago
Las Vegas, Nevada, United States Sephora Full timeJob SummaryThe Human Resources Specialist will support the Sephora Distribution Center by engaging in a wide variety of human resource activities in various functional areas. This includes benefits, non-exempt recruitment, employee relations, engagement, safety tracking, workers' compensation liaison, FMLA, Short & Long-Term Disability, and unemployment...
-
Patient Accounts Specialist
1 month ago
Las Vegas, Nevada, United States Western CBO Full timeJob Title: Patient Accounts SpecialistJob Summary:We are seeking a highly skilled Patient Accounts Specialist to join our team at the Western Region Consolidated Business Office (CBO). As a key member of our team, you will be responsible for maintaining and processing patient accounts and hospital insurance collections.Responsibilities:Ensure timely and...