Workers' Compensation Claims Analyst

🔥 0 minutes ago

🎰 Nevada – Remote

🎰 Nevada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MGM Resorts International

WebsiteLinkedInAll Job Openings

10,000+ employees

✈️ Travel

📣 Marketing

🏨 Hospitality

Travel • Marketing • Hospitality

MGM Resorts International is a global hospitality and entertainment company renowned for its luxurious resorts and casinos. With 28 destinations, primarily in Las Vegas, the company offers a blend of exceptional customer service, fine dining, entertainment options, and event facilities. MGM is dedicated to global expansion and emphasizes diversity, sustainability, and philanthropy while providing memorable experiences to its guests. The company boasts a large workforce of 81,000 global employees and is recognized as one of FORTUNE® Magazine’s World’s Most Admired Companies®.

📋 Description

• Manage and serve as the company claim advocate for Workers' Compensation claims administered by TPAs nationwide • Serve as the primary contact with TPAs, MGM department leaders, and injured workers • Supervise TPA administration for quality assurance, claim management, medical management services, and litigation expenses • Audit TPA adherence to Best Practices and Special Handling Instructions • Oversee Nevada, Michigan, Ohio, Massachusetts, Maryland, New York, New Jersey, and Mississippi Workers' Compensation claims • Review claim notes and administration, including data entry, claim reporting, medical management, reserving, claimant communication, documentation, litigation, settlements, and return-to-work protocols • Identify trends and program improvement opportunities with the Director of Workers' Compensation • Conduct quarterly claim reviews with TPA adjusters • Audit TPA files for evidence and case-resolution plans • Identify cases for resolution and work with adjusters to resolve them promptly • Maintain regular interactions with TPA claims personnel • Develop cost-containment and claim-resolution strategies with TPA claims handlers • Collaborate with Return to Work Specialists and the ADA Department on permanent restriction processes • Provide departmental education and training to reduce injury frequency • Support injured employees in navigating the Workers' Compensation claims process • Manage the Workers' Compensation claims system weekly to supply data for OSHA 300 and 301 logs and ensure reporting compliance • Stay current on Workers' Compensation regulations, laws, and rulings • Complete other projects and tasks as required by Risk Management leadership

🎯 Requirements

• High School Diploma or GED • 3+ years of prior relevant experience working for a public company in the State of Nevada • Bachelor's Degree — Preferred • Nevada State Worker's Compensation license — Preferred • Previous experience working in a similar resort setting — Preferred

🏖️ Benefits

• Wellness incentive programs to help you stay healthy physically and mentally • Access to company hotel, food and beverage, retail, and entertainment discounts • Discounts with company partners on travel, electronics, online shopping, and more • Free parking on and off shift • Health & Income Protection benefits (for eligible employees) • Professional and personal development through programs and networking opportunities • Volunteer opportunities in the community