Hybrid Workers' Comp Claims Associate I

CCMSI; Reno (NV); Hybrid; USD 60,000 - 72,000; Full time

Benefits offered by this job

4 weeks PTO

401(k) plan

Employee Stock Ownership Plan (ESOP)

Job summary

CCMSI is seeking a Nevada Workers' Compensation Claim Representative I in Reno. The role involves investigating and adjusting claims, reviewing invoices, and negotiating settlements. It offers a hybrid schedule after training and a compensation range of $60,000 to $72,000 depending on experience.

The position emphasizes quality service to clients, collaboration with defense attorneys, and adherence to company guidelines across the claims process.

Qualifications

• 3+ years of Nevada Workers’ Compensation claims experience or related insurance industry experience.
• Experience handling Nevada Lost Time Claims.
• Strong organizational skills with the ability to prioritize and manage multiple tasks independently.
• Effective verbal and written communication skills for interaction with internal teams, clients, and external partners.
• Ability to work collaboratively in a fast-paced, changing environment while maintaining accuracy and confidentiality.
• Reliable and predictable attendance during established hours.
• Proficiency with Microsoft Office applications (Word, Excel, Outlook).
• Active adjuster license in Nevada or ability to obtain one.

Responsibilities

• Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
• Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
• Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client's authorization.
• Assist in selection and supervision of defense attorneys.
• Assess and monitor subrogation claims for resolution.
• Prepare reports detailing claims, payments and reserves.
• Provide reports and monitor files, as required by excess insurers.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.

Skills

Nevada Workers’ Compensation claims

Organization

Communication

Microsoft Office

Licensing

Tools

Microsoft Office

Job description

CCMSI is seeking a Nevada Workers' Compensation Claim Representative I in Reno. The role involves investigating and adjusting claims, reviewing invoices, and negotiating settlements. It offers a hybrid schedule after training and a compensation range of $60,000 to $72,000 depending on experience.

The position emphasizes quality service to clients, collaboration with defense attorneys, and adherence to company guidelines across the claims process.