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Remote Claims Reviewer Jobs in Nevada (NOW HIRING)

Ccfs

Risk Claims Manager

Las Vegas, NV · Remote

$85K - $95K/yr

The role ensures complete and sound claim settlements, legal reviews, and investigations in ... This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ...

Liberty Dental Plan Careers

Staff Dentist

Las Vegas, NV · Remote

$150K - $165K/yr

In this fully remote position, you'll use your clinical judgment to review claims and prior authorizations, helping ensure members receive the right care at the right time. Your work directly ...

micro1 AI

Senior Scientific Reviewer - Physics

Sparks, NV · On-site +1

$80 - $150/hr

Remote (US, Canada, UK focused) micro1 is engaging Physics Experts (Postdoc / Junior professor) to ... scientific claims as appropriate. * Deliver structured feedback designed to support iterative ...

micro1 AI

Senior Scientific Reviewer - Physics

Reno, NV · On-site +1

$80 - $150/hr

Remote (US, Canada, UK focused) micro1 is engaging Physics Experts (Postdoc / Junior professor) to ... scientific claims as appropriate. * Deliver structured feedback designed to support iterative ...

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Remote Claims Reviewer information

What is a remote claims reviewer?

A Remote Claims Reviewer is a professional who evaluates and processes insurance claims from a remote location, rather than working onsite at an insurance company or healthcare provider. Their primary responsibilities include reviewing submitted claims for accuracy, completeness, and compliance with policy and regulatory guidelines. They may work with various types of claims, such as health, auto, or property insurance, and often use specialized software to assess documentation and make determinations. Remote Claims Reviewers communicate with claimants, providers, and other stakeholders to gather information and resolve issues. This role requires strong attention to detail, analytical skills, and a good understanding of insurance policies and procedures.

What are the key skills and qualifications needed to thrive as a remote claims reviewer?

To thrive as a Remote Claims Reviewer, you need a solid understanding of insurance policies, claims adjudication processes, and attention to detail, typically supported by experience in claims processing or a related field. Familiarity with claims management systems, electronic documentation, and industry certifications such as AIC (Associate in Claims) are commonly required. Excellent analytical skills, strong communication, and self-motivation are critical soft skills for effective remote work and accurate claim evaluations. These skills ensure claims are processed efficiently, accurately, and in compliance with regulations, maintaining trust and minimizing financial risk.

How do remote claims reviewers effectively collaborate with other team members while working from home?

Remote Claims Reviewers typically use a combination of secure communication platforms, such as email, video conferencing, and specialized claims management systems, to stay connected with their colleagues and supervisors. Regular virtual meetings, chat channels, and collaborative document tools help facilitate discussions about complex claims, share updates, and clarify procedures. While working remotely requires proactive communication, most companies provide structured workflows and support resources to ensure claims reviewers can easily reach out for guidance or escalate issues as needed.

What is the difference between Remote Claims Reviewer vs Remote Claims Processor?

AspectRemote Claims ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance knowledge beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing claims as assigned
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search & ComparisonYesYes

The main difference is that Remote Claims Reviewers evaluate and verify claims for accuracy and compliance, often requiring insurance knowledge, while Remote Claims Processors handle the submission and initial processing of claims. Both roles are remote, industry-specific, and involve insurance-related tasks, but their focus and responsibilities differ.

What are popular job titles related to Remote Claims Reviewer jobs in Nevada?

For Remote Claims Reviewer jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Remote Claims Reviewer jobs in Nevada look for?

The top searched job categories for Remote Claims Reviewer jobs in Nevada are:

Remote Claims Reviewer jobs near you
Infographic showing various Remote Claims Reviewer job openings in Nevada as of August 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution.

Premises Liability Claims Adjuster - National Accounts (Remote)

CCMSI

Las Vegas, NV • On-site, Remote

$75K - $85K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Overview
Multi-Line Claim Consultant - Premises Liability / General Liability (National Accounts)
Location: Remote
Schedule: 7.5-Hour Workday | Flexible Start Time
Salary Range: $75,000 - $85,000 annually
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with clients to solve their most complex risk management challenges through innovative claim solutions, collaborative problem-solving, and an unwavering commitment to service excellence.
As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work® and an employee-owned organization where talented claim professionals are empowered to grow, contribute, and make an impact.
Job Summary
The Multi-Line Claim Consultant is responsible for the investigation, evaluation, negotiation, and resolution of liability claims within a dedicated national hospitality account. This role manages claims from assignment through final resolution while ensuring compliance with Corporate Claim Standards, client-specific handling instructions, and applicable state regulations.
This position primarily focuses on premises liability, bodily injury, and property damage claims arising from hospitality-related operations across multiple jurisdictions. The successful candidate will manage an inventory ranging from low to moderate complexity with select higher-complexity exposures based on experience and skill level.
Approximately 10-20% of the inventory may involve litigation exposure, making strong investigation, negotiation, communication, and claim management skills critical to success.
This is an ideal opportunity for an experienced liability adjuster who enjoys working with a dedicated national client, managing claims independently, and delivering exceptional service in a collaborative environment.
Responsibilities
What You'll Do
  • Investigate, evaluate, and adjust liability claims from assignment through closure
  • Handle premises liability, bodily injury, and property damage claims
  • Conduct liability investigations and analyze coverage, damages, and exposure
  • Establish and maintain appropriate reserves based on claim development
  • Review medical records, invoices, legal documentation, repair estimates, and related claim materials
  • Authorize and process claim payments within authority levels
  • Negotiate settlements with claimants, attorneys, and authorized representatives
  • Manage litigated files and coordinate with defense counsel when appropriate
  • Identify and pursue subrogation opportunities
  • Prepare claim reports, reserve recommendations, excess notifications, and file summaries
  • Coordinate communications with clients, claimants, vendors, attorneys, and other stakeholders
  • Maintain timely diary management and accurate claim documentation
  • Participate in claim reviews, training sessions, mediations, hearings, and settlement conferences as needed
  • Ensure compliance with Corporate Claim Standards and client-specific handling requirements

Qualifications
When We Hire Adjusters
At CCMSI, we look for professionals who take ownership of their files, communicate proactively, and consistently deliver quality outcomes. Successful adjusters combine strong technical claim expertise with exceptional client service and sound professional judgment.
Required Qualifications
  • 5+ years of liability claims handling experience
  • Active Adjuster License or Designated Home State (DHS) License required
  • Experience managing claims from investigation through resolution
  • Experience handling:
    • Premises Liability Claims
    • Bodily Injury Claims
    • Property Damage Claims
  • Strong liability investigation and claim evaluation skills
  • Experience establishing reserves and negotiating settlements
  • Ability to independently manage a claim inventory of approximately 130 files
  • Strong written and verbal communication skills
  • Excellent customer service and relationship management abilities
  • Strong diary management, organization, and time-management skills
  • Ability to work independently in a remote environment
  • Proficiency with Microsoft Office applications
  • Reliable attendance during established business hours
Preferred Qualifications
  • Hospitality claims experience
  • Premises liability expertise within hotels, resorts, restaurants, entertainment venues, or guest-facing operations
  • Litigation management experience
  • Experience working directly with defense counsel
  • Multi-jurisdiction claims experience
  • Experience handling claims in one or more of the following jurisdictions:
    • Louisiana
    • Florida
    • Illinois
    • Pennsylvania
    • Arizona
    • Colorado
    • Missouri
    • Mississippi
    • Ohio
  • Prior TPA experience
  • Additional active adjuster licenses

Why You'll Love Working Here
  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
  • Quality claim handling - thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance - adherence to jurisdictional and client standards
  • Timeliness & accuracy - purposeful file movement and dependable execution
  • Client partnership - proactive communication and strong follow-through
  • Professional judgment - owning outcomes and solving problems with integrity
  • Cultural alignment - believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.
Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed.

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
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