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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing Nevada Workers’ Compensation claims processes, ensuring compliance with regulatory requirements and internal standards while effectively coordinating with stakeholders to support timely claim activities.
Highest-signal resume keywords
Claims Management ExperienceNevada Workers’ Compensation CertificationRegulatory ComplianceDocumentation ReviewTimeliness Tracking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingRegulatory FilingsPayments ManagementDenials HandlingSettlements CoordinationDocumentation PreparationQuality AssuranceTimeframe MonitoringKeyboarding SkillsProblem Resolution
Soft Skills
Stress ManagementMultitaskingDeadline Orientation
Certifications & Qualifications
High School DiplomaGEDBachelor's Degree (Preferred)Professional Certification (Preferred)Nevada Workers’ Compensation Claims Certification
Industry Keywords
Workers’ CompensationClaims ProcessCompliance StandardsClaim ActivitiesOutstanding ItemsClaim ExaminersInternal StandardsTimely CompletionQuality ProgramsClaim Documentation
About the role
Key responsibilities & impact- Oversee components of the Nevada Workers’ Compensation claims process
- Track and report timeliness of denials, settlements, required timeframes, payments, filings, and other assigned claim activities
- Monitor claims to ensure required actions, payments, documentation, and filings are completed accurately and on time
- Provide oversight of specific portions of the claims process for compliance with Nevada Workers’ Compensation requirements and internal standards
- Review claim activity and documentation to identify outstanding or time-sensitive items
- Coordinate with claims examiners, leadership, and appropriate parties to support timely completion of claim activities
- Assist with preparation, review, and submission of required claim documentation and regulatory filings
- Monitor timely processing of benefits and payments and follow up on outstanding items
- Support handling of denials and settlements by ensuring required documentation, notices, approvals, and related activities are completed on time
- Identify delays, missing information, or process issues and work toward resolution
- Support quality and compliance programs
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or GED required
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Must possess or be able to obtain the applicable Nevada Workers’ Compensation claims certification/credential required for the position
- 1 year of claims management experience or equivalent combination of education and experience required
- Experience supporting or managing claim activities involving regulatory timeframes, payments, filings, denials, settlements, or similar claim functions strongly preferred
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Travel as required
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K on day one
- 401k and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits