Senior WC Claims Adjuster – Hybrid in Reno

CCMSI; Reno (NV); Hybride; USD 75 000 - 85 000; Plein temps

Avantages offerts par ce poste

PTO & holidays

Medical/Dental/Vision

401(k) + ESOP

Career growth

Team culture

Résumé du poste

CCMSI is seeking an experienced Workers’ Compensation Claim Representative II in Reno, NV. The role requires handling a diverse claims portfolio with empathy, judgment, and strong technical skills. The candidate should have 5–10 years of experience and be licensed as a Nevada Adjuster, with proficiency in MS Office.

The position offers a hybrid schedule after training, competitive salary, and opportunities to grow toward senior claims roles within a supportive, ESOP-backed company culture.

Qualifications

• 5+ years of Nevada Workers’ Compensation claims management experience or equivalent.
• Proficiency with Microsoft Office (Word, Excel, Outlook).
• Nevada Adjuster’s license is required.

Responsabilités

• 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 reasonableness and relatedness; negotiate disputed bills.
• Authorize and pay workers compensation claims within settlement authority and industry standards.
• Negotiate settlements with claimants and attorneys per client 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.
• Ensure compliance with Service Commitments and deliver quality claim service.

Connaissances

Nevada WC claims experience

MS Office proficiency

Detail orientation

Communication

Team collaboration

Formation

Associate degree (preferred)

Outils

Nevada Adjuster’s license

Description du poste

CCMSI is seeking an experienced Workers’ Compensation Claim Representative II in Reno, NV. The role requires handling a diverse claims portfolio with empathy, judgment, and strong technical skills. The candidate should have 5–10 years of experience and be licensed as a Nevada Adjuster, with proficiency in MS Office.

The position offers a hybrid schedule after training, competitive salary, and opportunities to grow toward senior claims roles within a supportive, ESOP-backed company culture.