NV Med Only Workers Compensation Claims Adjuster - Remote

Job Description

Workers’ Compensation Claims Adjuster – Nevada (Remote)

Job Summary

Seeking an experienced Workers’ Compensation Claims Adjuster to manage a diverse caseload for multiple accounts, including both insurance and self-insured employers. This position requires strong knowledge of Nevada Workers’ Compensation law, as well as experience handling litigated claims. The ideal candidate will possess excellent communication, analytical, and organizational skills, with the ability to manage claims efficiently and deliver superior customer service.

Responsibilities

• Receive and review claim assignments, confirming policy coverage and directing timely acknowledgments of claims.
• Manage a caseload of approximately 100 lost time claims, including 15%–20% litigated files.
• Oversee claims through the full life cycle, ensuring timely and accurate handling in accordance with jurisdictional regulations.
• Investigate claims, gather supporting documentation, and determine compensability.
• Communicate effectively with claimants, employers, medical providers, attorneys, and other stakeholders.
• Develop and execute strategies to resolve claims promptly and within authority levels.
• Maintain detailed and accurate documentation within the claims management system.
• Ensure compliance with all applicable state laws and internal procedures.
  
  

Qualifications/Requirements

• Minimum of 3 years of Workers’ Compensation medical only claims handling experience.
• Active Nevada Adjuster License required.
• Must reside in the state of Nevada.
• Strong knowledge of Nevada Workers’ Compensation laws and regulations.
• Proven experience managing litigated claims.
• Excellent customer service and organizational skills.
• High school diploma required; bachelor’s degree preferred.
  
  

Compensation Package

• Compensation: $65-80K (depending on experience) bonus opportunities
• Benefits: Competitive benefits package, 401(k), paid time off, professional development opportunities, and more.
  
  

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer’s discretion.