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Claims Processing Jobs in Nevada (NOW HIRING)

Director Claims

Las Vegas, NV · On-site

$150K - $160K/yr

Conduct hiring, interviews, and performance management processes. * Develop employee performance ... Experience with claims licensing requirements preferred. Skills: * Claims operations management.

Processing basic claims to an adjudicated status. * Completing projects as assigned by the Claims Manager or other health plan management. * Participating in quality improvement and change management ...

Processing basic claims to an adjudicated status. * Completing projects as assigned by the Claims Manager or other health plan management. * Participating in quality improvement and change management ...

Claims Examiner 1

Reno, NV · On-site

$15.76 - $22.06/hr

Processing basic claims to an adjudicated status. * Completing projects as assigned by the Claims Manager or other health plan management. * Participating in quality improvement and change management ...

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Knowledge of statistical process control desirable.

The role of Claims Specialist: Under general supervision, provides support in the administration of ... processing of your application and/or may disqualify you as a candidate. Recology is an equal ...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to ...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to ...

Strong claims processing skill, understanding of medical terminology, and familiarity with medical records * Basic Data Warehouse knowledge and experience with Microsoft SQL * Strong communication ...

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Claims Processing information

See Nevada salary details

$12

$19

$26

How much do claims processing jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for claims processing in Nevada is $19.52, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $21.06 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. It requires attention to detail, knowledge of insurance policies, and often involves using specialized software to track claim status and ensure timely resolution.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
What are the most commonly searched types of Claims Processing jobs in Nevada? The most popular types of Claims Processing jobs in Nevada are:
What cities in Nevada are hiring for Claims Processing jobs? Cities in Nevada with the most Claims Processing job openings:
ESIS Senior Claims Representative, WC

ESIS Senior Claims Representative, WC

Chubb

Las Vegas, NV • On-site

$78K - $109K/yr

Full-time

Posted 14 days ago


Chubb rating

8.1

Company rating: 8.1 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

132nd of 260 rated insurance


Job description

Job Description
Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we are dedicated to providing exceptional service and innovative solutions, and we are looking for passionate individuals to be part of our dynamic team. If you are eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere!
The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Duties may include but are not limited to:
  • Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. As a Senior Claim Representative, candidate will be responsible for more complex and intricate, requiring an advanced skillset.
  • Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.
  • Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.
  • Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
  • Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.
  • Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained.
  • Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements.
  • Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status.
  • Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.

Qualifications
  • Experience: Minimum of 3-5 years of experience handling workers' compensation claims; prior experience with ESIS or similar third-party administrators is a plus.
  • Jurisdiction & Licensing: Knowledge of California and/or Nevada Workers Compensation and active adjuster license or ability to obtain licensure within a specified timeframe.
  • Compliance: Ensures compliance with all legal, regulatory and company-specific requirements
  • Quality Review Performance: Achieves strong quality review scores by adhering to established high standard procedures
  • ESIS/Client/Carrier Requirements: Follows ESIS Best Practices; adheres to client and carrier guidelines and requirements to ensure accuracy in documentation, claims handling and service delivery
  • Skills:
    • Strong analytical and problem-solving abilities.
    • Excellent verbal and written communication skills.
    • Proficiency in claims management systems and Microsoft Office Suite.
    • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Knowledge: Familiarity with workers' compensation laws, medical terminology, and claim handling best practices. As a Senior Claim Representative, candidate will be responsible for more complex and intricate claims, requiring an advanced skillset.

An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
The pay range for the role is $78,100 to $109,400. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

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About Chubb

Sourced by ZipRecruiter

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Warren, NJ, US