Workers' Compensation Claims Analyst — Nevada & National Oversight

MGM Resorts International; Las Vegas (NV); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Wellness incentive programs

Discounts on hotel, F&B, retail, and娱乐

Free parking on and off shift

Health & Income Protection benefits

Professional and personal development

Job summary

MGM Resorts International is seeking a Workers' Compensation Claims Analyst to manage investigations and administration of claims handled by Third-Party Administrators, with direct oversight of Nevada claims and collaboration with other states under leadership guidance.

The role requires coordinating with TPA adjusters, property leadership, and injured employees, auditing claim files, and identifying cost-containment strategies while ensuring compliance with regulatory requirements.

Qualifications

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

Responsibilities

• Manage and serve as the company claim advocate for Worker's Compensation claims administered by TPAs nationwide.
• Serve as the primary key contact with the TPAs, MGM department leaders, and the injured worker to ensure timely and appropriate administration of claims.
• Supervise TPA administration for quality assurance, appropriate claim management, control of medical management services, and oversight of litigation expenses.
• Carryout oversight and audit processes to monitor the TPA's adherence to their Best Practices and agreed upon Special Handling Instructions.
• Oversee Worker's Compensation claims the handling of the Companies Nevada, Michigan, Ohio, Massachusetts, Maryland, New York, New Jersey and Mississippi Workers' Compensation claims reviewing notes in TPA Risk Management Systems including, but not limited to, data entry, claim reporting, appropriate medical management, reserving, timely claimant communication, documentation, litigation, settlement negotiations, and return to work protocol.

Job description

MGM Resorts International is seeking a Workers' Compensation Claims Analyst to manage investigations and administration of claims handled by Third-Party Administrators, with direct oversight of Nevada claims and collaboration with other states under leadership guidance.

The role requires coordinating with TPA adjusters, property leadership, and injured employees, auditing claim files, and identifying cost-containment strategies while ensuring compliance with regulatory requirements.