Workers' Compensation Claim Adjuster- Hybrid/Remote for Nevada Resident

Overview

Position Title: Workers' Compensation Claim Representative ILocation: Hybrid (Reno, Nevada)Hours: Monday - Friday, 8:00 AM to 4:30 PMSalary Range: $55,000 - $65,000

 

Disclaimer: The posted salary range for this position reflects the anticipated base pay for this role. Actual pay is determined based on factors such as qualifications, skills, relevant experience, internal equity, and location. Additional compensation may include discretionary bonuses, benefits, or other forms of compensation, depending on the role. The salary range provided is in compliance with state and local requirements and is intended to offer transparency to applicants. We encourage open discussions with our hiring team regarding any questions you may have about compensation and benefits for this position.

 

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K.

 

About CCMSI:

At CCMSI, we seek the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we’re united by a common mission to deliver exceptional service to our clients. As an employee-owned company, we focus on developing our staff through structured career development programs and by rewarding individual and team efforts. Certified as a Great Place to Work, CCMSI’s employee satisfaction and retention rank in the 95th percentile, reflecting our commitment to an outstanding work environment.

 

Why Join CCMSI?

• Culture: Our Core Values shape how we treat employees as valued partners—with integrity, passion, and enthusiasm.
• Career Development: CCMSI offers robust internships and internal training programs to support growth and advancement within the organization.
• Comprehensive Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a benefits package that includes Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and Employee Stock Ownership Program (ESOP).
• Supportive Work Environment: We believe in creating a workplace where employees enjoy coming to work each day, are provided with the resources to succeed, and manage realistic caseloads.

 

Position Summary:

Join CCMSI as a Workers' Compensation Claim Representative I and become part of a team dedicated to delivering exceptional service. This position offers a hybrid schedule after initial in-office training, working Monday through Friday, 8:00 AM to 4:30 PM. You will handle claims for multiple accounts within the Nevada jurisdiction, including industries such as public entities, casinos, temp agencies, and farming. A Nevada adjuster's license is preferred, and a Nevada hearings license is desirable — if not already held, you must be willing to obtain it. Performance is measured by client satisfaction and your ability to handle claims timely, adhering to CCMSI corporate claims best practice standards.

Responsibilities

• Investigate and adjust workers' compensation claims following CCMSI guidelines and established procedures under direct supervision.

• Review medical, legal, and other related invoices to determine if they are reasonable and related to claims. Negotiate disputed bills as needed.

• Authorize and issue claim payments within settlement authority and industry standards.

• Negotiate settlements with claimants and attorneys, securing client authorization when required.

• Assist in the selection and supervision of defense attorneys.

• Assess and monitor subrogation claims for resolution.

• Prepare detailed reports on claims, payments, and reserves.

• Provide reports and monitor files as needed for excess insurers.

• Ensure compliance with team’s Service Commitments and deliver quality claims service.

• Perform other duties as assigned.

Qualifications

• Experience: 3+ years of workers' compensation claims experience or related industry experience.

• Licenses: Nevada adjuster’s license is preferred; Nevada hearings license preferred or willingness to obtain.

• Skills: Strong written and verbal communication skills, organizational abilities, and ability to prioritize tasks. Must be a self-starter, adaptable, and able to work independently and as part of a team. Discretion and confidentiality are essential.

• Technology: Proficiency in Microsoft Office (Word, Excel, Outlook).

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