Medical Only Claim Representative – Medical Only | Nevada WC | Hybrid

Overview

Position Title: Medical Only Claim RepresentativeLocation: Reno, NV – HybridWork Arrangement: Hybrid after training (2–3 in-office days per week)Schedule: Monday–Friday, 7:30 AM to 4:00 PMHourly Rate: $22.00–$25.00/hourJurisdiction: Nevada (NV) onlyLicense/Certification Required: NV Adjuster’s License required, or ability to obtainClient Type: Single dedicated Workers’ Compensation clientPerformance Metrics: Best practice standards – timely claim decisions, up-to-date documentation, payments, diaries, and emailsGrowth Potential: Yes – potential advancement to Lost Time Adjuster after full training

Build Your Career with Purpose

At CCMSI, our Medical Only Claim Representatives don’t just process paperwork—they play a key role in helping injured workers recover and return to work. As a 100% employee-owned company, we offer a collaborative culture, meaningful career growth, and the opportunity to be part of something bigger than yourself. Join our Reno team and help deliver high-quality claims service with compassion and integrity.

 

Job Summary

We are seeking a Medical Only Claim Representative to handle workers’ compensation claims for a single, dedicated client in the Nevada jurisdiction. This role is ideal for a detail-oriented, organized professional with strong multitasking skills. You’ll work in a hybrid environment (in-office 2–3 days/week after training) and will be supported by a knowledgeable team and clear performance standards.

This is a great opportunity for someone looking to grow into a future Lost Time Adjuster role with full training and support provided.

 

Responsibilities

• Manage medical-only workers’ compensation claims according to Nevada regulations and corporate best practices

• Establish and monitor claim reserves within authority levels under supervision

• Review and process medical invoices, negotiate disputed bills when needed

• Coordinate medical treatment and communicate with providers

• Summarize and organize medical records, correspondence, and claim notes

• Close claim files appropriately and assist with re-filing or records retrieval as needed

• Provide technical and administrative support to claim staff and client service teams

• Ensure compliance with corporate standards and client-specific instructions

• Maintain accuracy and timeliness of all documentation, diaries, and communications

• Participate in ongoing training and knowledge development opportunities

 

Qualifications

Required:

• Associate degree or at least 2 years of related business or administrative experience

• Strong organizational and multitasking skills

• Proficiency in Microsoft Office (Word, Excel, Outlook)

• Reliable and professional communication skills

• NV Adjuster’s License or ability to obtain within required timeframe

• Reliable attendance within scheduled client service hours

Nice to Have:

• Background in medical terminology or healthcare-related claims

• Experience working in a claims, legal, or insurance setting

Performance Metrics

• Compliance with best practice standards

• Timely claim decisions and documentation

• Accuracy of file notes, payments, and diary entries

• Responsiveness to internal and external communications

• Readiness for growth into Lost Time Adjuster role

What We Offer

• Four weeks of paid time off in your first year, plus 10 paid holidays

• Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability

• Employer-funded ESOP and 401K plan with company match

• Structured career development programs and internal promotion pathways

• A supportive in-office environment that values teamwork and employee growth

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 a comprehensive benefits package, which will be reviewed during the hiring process. Please contact ou