Workers' Compensation Claim Representative 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

Workers' Compensation Claim Rep I

Location

Reno, Nevada (Hybrid Schedule after initial training)

Schedule

Mon - Fri 8:00 am - 4:30 pm (PST)

Compensation

$60,000 - $72,000 (depending on experience)

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Nevada Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

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.

Qualifications

What You’ll Bring

• 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.

Nice to Have

• Associate’s degree or higher, or related insurance indusstry experience.
• Past experience handling transportation and construction accounts
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

• 4 weeks PTO + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment

How We Measure Success

• Quality claim handling – thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance – adherence to jurisdictional and client standards
• Timeliness & accuracy – purposeful file movement and dependable executionClient partnership – proactive communication and strong follow-through
• Professional judgment – owning outcomes and solving problems with integrity
• Cultural alignment – believing every claim represents a real person and acting accordingly

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.

Visa Sponsorship

CCMSI does not provide visa sponsorship for this position.

ADA Accommodations

CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer

CCMSI is an Affir…

Background checks are conducted only after a conditional offer of employment.

Our Core Values

At CCMSI, We Believe In Doing What’s Right—for Our Clients, Our Coworkers, And Ourselves. We Look For Team Members Who

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

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