Medical-Only Claims Specialist - Elevate Your Career

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 paid holidays

Medical, Dental, Vision

401(k) and ESOP

Career growth

Job summary

CCMSI in Reno, NV is seeking a Medical Only Claim Representative to handle medical-only claims and support the claims staff. This position may serve as a training path toward promotion within CCMSI's claims team.

You will set up files, establish reserves under supervision, review invoices, request medical treatment, and document case notes to ensure timely, accurate service for clients. Candidates need an associate degree or two years of related experience, strong phone communication,

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.
• Reliable, predictable attendance during assigned business hours.

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

Multitasking

Microsoft Office

Attendance reliability

Education

Associate Degree

Tools

Microsoft Office

Job description

CCMSI in Reno, NV is seeking a Medical Only Claim Representative to handle medical-only claims and support the claims staff. This position may serve as a training path toward promotion within CCMSI's claims team.

You will set up files, establish reserves under supervision, review invoices, request medical treatment, and document case notes to ensure timely, accurate service for clients. Candidates need an associate degree or two years of related experience, strong phone communication,