Medical-Only Claims Representative (Reno)

Cannon Cochran Management Services, Inc.; Reno (NV); On-site; USD 45,000 - 55,000; Full time

Benefits offered by this job

PTO 4 weeks

10 holidays

Health benefits

ESOP & 401(k)

Job summary

CCMSI in Reno, NV is seeking a Medical Only Claim Representative to handle designated medical‑only claims and support claim staff. This role may serve as a training position for promotion to an intermediate level.

You will ensure quality claim services per corporate standards and support client teams. Responsibilities include setting up files, reserving within authorized levels, reviewing invoices, and coordinating with providers and injured workers.

Qualifications

• Associate degree or two years of related business experience.
• Customer-service oriented mindset with comfort communicating by phone.
• Strong organizational skills and ability to multitask effectively.
• Ability to work efficiently on a computer and manage detailed documentation.
• Proficiency with Microsoft Office applications including Word, Excel, and Outlook.

Responsibilities

• Set up and manage medical‑only claim files in accordance with corporate claim standards and applicable laws.
• Establish reserves and provide reserve recommendations within authorized levels under direct supervision.
• Review and approve medical and miscellaneous invoices on designated claims; negotiate disputed bills or invoices under supervision.
• Request and monitor medical treatment in accordance with corporate claim handling standards.
• Summarize correspondence and medical records in claim system notes and file documentation appropriately.
• Close claim files when appropriate and retrieve closed files for re‑filing as requested.
• Provide ongoing support to claim staff on client service teams.
• Communicate with medical providers, injured workers, and internal partners; frequent phone work is required.
• Ensure compliance with corporate claim handling standards and special client handling instructions.

Skills

Customer service

Phone communication

Organizational skills

Computer literacy

Microsoft Office

Attendance reliability

Education

Associate degree or 2 years related experience

Tools

Microsoft Office Suite

Job description

CCMSI in Reno, NV is seeking a Medical Only Claim Representative to handle designated medical‑only claims and support claim staff. This role may serve as a training position for promotion to an intermediate level.

You will ensure quality claim services per corporate standards and support client teams. Responsibilities include setting up files, reserving within authorized levels, reviewing invoices, and coordinating with providers and injured workers.