Workers' Compensation Claims Analyst

This is a fully remote position, open to applicants in Nevada.

📋 Description

• Oversee and act as the company's representative for Workers' Compensation claims managed by Third-Party Administrators (TPAs) across the country.

• Act as the main point of contact for TPAs, MGM department leaders, and employees who have been injured.

• Supervise TPA operations to ensure quality assurance, effective claim management, medical management services, and oversight of litigation costs.

• Review TPA compliance with Best Practices and Special Handling Instructions.

• Manage Workers' Compensation claims for Nevada, Michigan, Ohio, Massachusetts, Maryland, New York, New Jersey, and Mississippi.

• Evaluate claim documentation and administration, including data entry, claim reporting, medical management, reserving, communication with claimants, documentation, litigation, settlements, and return-to-work processes.

• Identify trends and opportunities for program enhancement in collaboration with the Director of Workers' Compensation.

• Conduct quarterly reviews of claims with TPA adjusters.

• Audit TPA files for evidence and plans for resolving cases.

• Pinpoint cases that require resolution and collaborate with adjusters to ensure timely resolution.

• Maintain consistent communication with TPA claims staff.

• Develop strategies for cost containment and claim resolution in partnership with TPA claims handlers.

• Work alongside Return to Work Specialists and the ADA Department regarding processes for permanent restrictions.

• Provide education and training within the department to help minimize injury occurrences.

• Assist injured workers in navigating the Workers' Compensation claim process.

• Manage the Workers' Compensation claims system on a weekly basis to provide data for OSHA 300 and 301 logs while ensuring compliance in reporting.

• Stay informed about current Workers' Compensation regulations, laws, and rulings.

• Complete additional projects and tasks as directed by Risk Management leadership.

⛳️ Requirements

• High School Diploma or GED.

• A minimum of 3 years of relevant experience in a public company within the State of Nevada.

• Bachelor's Degree is preferred.

• A Nevada State Worker's Compensation license is preferred.

• Previous experience in a similar resort environment is preferred.

🏝️ Benefits

• Wellness incentive programs designed to support your physical and mental health.

• Discounts on hotel accommodations, food and beverages, retail, and entertainment through the company.

• Partner discounts on travel, electronics, online shopping, and additional services.

• Complimentary parking both on and off shift.

• Health and Income Protection benefits available for eligible employees.

• Opportunities for professional and personal development through various programs and networking events.

• Chance to participate in community volunteer initiatives.