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Claims Resolution Manager Jobs in Nevada (NOW HIRING)

Jensen Precast

Claims Manager

Reno, NV · On-site

$90 - $140/hr

Manage Workers' Compensation, property damage, and General Liability claims from investigation through treatment, resolution, and closure. * Work directly with insurance carriers, third-party ...

JENSEN INFRASTRUCTURE

Claims Manager

Reno, NV · On-site

Manage Workers' Compensation, property damage, and General Liability claims from investigation through treatment, resolution, and closure. * Work directly with insurance carriers, third-party ...

Ccfs

Risk Claims Manager

Las Vegas, NV · Remote

$85K - $95K/yr

Identify claims that require escalation to the insurance company during intake and gather all relevant information needed for claim resolution. * Directly manage property damage, auto damage, and ...

MagnaCare

Claims Examiner I

Las Vegas, NV · On-site

... resolution. * Execute client-requested claim adjustments and provide clear, concise written ... Excellent written and verbal communication skills, with the ability to manage inquiries ...

MagnaCare

Claims Examiner II

Las Vegas, NV · On-site

... resolution. * Execute client-requested claim adjustments and provide clear, concise written ... Excellent written and verbal communication skills, with the ability to manage inquiries ...

Vay

Head of Customer Experience

Las Vegas, NV

Process & Quality Management * Define and update SOPs for customer support and claims handling ... Deliver reporting on CSAT, NPS, SLA adherence, claims resolution, and agent productivity. * Track ...

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All JobsClaims Resolution JobsClaims Resolution Manager JobsClaims Resolution Manager Jobs in Nevada

Claims Resolution Manager information

What does a claims resolution manager do?

A Claims Resolution Manager oversees the process of handling insurance claims from initiation to closure, ensuring that claims are resolved efficiently and fairly. They investigate claim details, coordinate with adjusters, clients, and third parties, and work to resolve disputes or issues that may arise during the claims process. Their goal is to ensure compliance with company policies and legal regulations while optimizing customer satisfaction and minimizing losses for the organization.

What are the primary challenges a claims resolution manager faces when balancing client expectations with policy limitations?

Claims Resolution Managers often navigate the delicate balance between meeting client expectations and adhering to insurance policy terms. One common challenge is communicating complex policy details to clients who may be experiencing stress or frustration. Additionally, managers must ensure timely and fair claims processing while coordinating with adjusters, legal teams, and external vendors. Success in this role requires strong negotiation skills, empathy, and a thorough understanding of regulatory and company guidelines.

What are the key skills and qualifications needed to thrive as a claims resolution manager, and why are they important?

To thrive as a Claims Resolution Manager, you need a solid background in insurance claims processing, dispute resolution, and regulatory compliance, often supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, CRM tools, and relevant certifications such as AIC or CPCU is common. Strong analytical thinking, negotiation skills, and effective communication are crucial soft skills for managing complex cases and guiding teams. These abilities ensure efficient claims handling, customer satisfaction, and minimized financial risk for the organization.

What is the difference between Claims Resolution Manager vs Claims Adjuster?

AspectClaims Resolution ManagerClaims Adjuster
CredentialsInsurance licenses, sometimes management certificationsInsurance licenses, specific to claims handling
Work EnvironmentSupervisory roles, team coordinationField or office-based, claims investigation
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding managerial roles in claimsDetails about claims handling and investigation

The Claims Resolution Manager oversees claims processes and manages teams, focusing on strategy and resolution. Claims Adjusters handle the investigation and evaluation of individual claims. While both roles require insurance licenses, the manager's role is more supervisory, whereas the adjuster is more hands-on with claims investigation.

Claims Resolution Manager jobs near you

Risk Claims Manager

CrossCountry Freight Solutions, Inc. DBA CCFS

Las Vegas, NV • On-site

$75 - $85/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 11 days ago

Job description

Job Title: Risk Claims Manager

Department: Compliance

Job Status: Exempt

Compensation: Direct Reports: Yes

Salary Range: $75,000–$85,000 (based on education and years of experience)

Company Overview

CrossCountry Freight Solutions (CCFS) is an exceptional company with a mission to achieve universal prosperity with our customers, company, team members, and communities. We use the latest technology to provide quality service and on-time delivery across the Western and Central United States.

Job Summary

The Risk Claims Manager oversees insurance claims for auto liability and workers compensation, including property damage, auto vehicle damage, and verifiable damage. They ensure sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures, manage workers compensation claims, return-to-work documentation, modified duty job offers, and resolve escalated operational issues. The role may be remote.

Essential Job Duties
  • Investigate and maintain claims for the company, review and determine coverages, and work with insurance companies to set claim reserves.
  • Identify claims that require escalation to the insurance company, gather relevant information at intake to facilitate claim resolution.
  • Manage property, auto damage, and workers compensation claims, handle serious losses, retain and direct defense counsel, and attend mediations and depositions as needed.
  • Provide excellent customer service to insureds/claimants via phone.
  • Prepare statistical reports of claims activity and submit findings as requested, leading claim file reviews when required.
  • Ensure the company takes appropriate measures to minimize claim losses and comply with government regulations.
  • Create a positive and productive work atmosphere by communicating and behaving professionally with all employees.
  • Perform other duties as assigned.
Minimum Requirements
  • Seven (7) or more years of senior-level claims experience.
  • Extensive knowledge of liability claims administration, including litigation avoidance.
  • In-depth understanding of complex medical treatments, outcomes, tort, venue, jurisdictional matters, and advanced investigative and analytical skills.
  • Proven independent decision-making, problem-solving, and negotiation skills.
  • Ability to collaborate with cross-functional teams.
  • Excellent verbal and written communication, presentation, interpersonal, and analytical skills.
  • Proficiency with Microsoft Windows, Word, and Excel; personal computer and spreadsheet skills preferred.
  • Knowledge of statistical process control desirable.
Benefits
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • 401(k) Plan
  • Uniform Incentive
  • Paid Holidays (after 30 days of service as a full-time employee)
  • Paid Personal Time-Off

All regular full-time employees are eligible for the CrossCountry benefit package after 30 days of employment. Part-time employees are also eligible for these benefits.

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