Workers' Compensation Claims Analyst
Core
Manage the investigation and administration of Workers' Compensation claims handled by Third-Party Administrators (TPAs) for MGM Resorts, ensuring program excellence and compliance.
Role type
Workers' Compensation Claims Analyst
Builds
Claims resolution and program oversight for Nevada and select multi-state properties
Domain
Insurance / Risk Management / Hospitality
Deliverable
client delivery
Required skills
Workers' Compensation claims administration, TPA oversight, claim auditing, financial alerting, litigation expense oversight, regulatory compliance, data entry, claim reporting, medical management, reserving, settlement negotiations, return to work protocols, OSHA reporting
Preferred skills
Nevada State Worker's Compensation license, public company experience, resort setting experience, Bachelor's Degree
Responsibilities
Serve as company claim advocate for Worker's Compensation claims administered by TPAs nationwide, supervise TPA administration for quality assurance and medical management, conduct claim reviews with TPA adjusters, identify cases for resolution, collaborate on cost containment strategies, provide education to departments to reduce injury frequency, manage Work Comp claims system for OSHA reporting, remain updated on worker's compensation regulations
Seniority
Mid-level, hands-on IC