NV Workers' Compensation Insurance Adjuster

Ccmsi • Reno, NV

8d • $75,000 - $85,000 • Hybrid

About The Position

CCMSI is seeking an experienced Workers’ Compensation Claim Representative II to manage a diverse portfolio of claims with professionalism, empathy, and technical skill. The role handles claim investigations, compensability decisions, and timely resolution strategies while delivering quality service to clients and supporting injured workers. It is described as a developmental step toward more senior claim positions.

The position is based in Reno, Nevada, and follows a Monday–Friday schedule from 7:30 a.m. to 4:00 p.m. Pacific Time. The schedule becomes hybrid after training. The posted salary range is $75,000–$85,000, depending on experience; the role may also qualify for bonuses or other forms of pay.

CCMSI describes itself as the largest privately owned third-party administrator and a certified Great Place to Work. Its employee-owners work collaboratively to provide customized claim solutions for clients.

Requirements

• At least 5 years of Nevada workers’ compensation claims management experience, or an equivalent combination of experience and education.
• Nevada Adjuster’s license.
• Proficiency with Microsoft Office programs, including Word, Excel, and Outlook.
• Strong organizational skills and ability to work with minimal supervision.
• Ability to coordinate, prioritize, and manage multiple responsibilities.
• Flexibility, initiative, and adaptability in a fast-paced, changing environment.
• Discretion and ability to maintain confidentiality.
• Ability to work effectively as part of a team.
• Reliable, predictable attendance during client service hours.
• Responsiveness to internal and external client needs.
• Clear, professional verbal and written communication skills.

Nice To Haves

• Associate degree preferred, but not required.
• Bilingual Spanish proficiency is highly valued but not required.
• The overview describes 5–10 years of experience as the profile for the role.

Responsibilities

• Investigate and adjust workers’ compensation claims according to established procedures, CCMSI guidelines, and direct supervision.
• Review medical, legal, and miscellaneous invoices to determine whether charges are reasonable and related to ongoing claims.
• Negotiate disputed bills for resolution.
• Authorize and make claim payments using a claim payment program, in accordance with industry standards and settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client authorization.
• Assist in selecting and supervising defense attorneys.
• Assess and monitor subrogation claims through resolution.
• Prepare reports detailing claims, payments, and reserves.
• Provide reports and monitor files as required by excess insurers.
• Meet team service commitments and deliver quality claim service to clients.

Benefits

• Four weeks of paid time off, accruing throughout the year in accordance with company policy.
• 10 paid holidays in the first year.
• Medical, dental, vision, life, and disability insurance.
• 401(k) retirement plan.
• Employee Stock Ownership Plan (ESOP).
• Internal training and advancement opportunities.
• Supportive, team-based work environment.
• The role may qualify for bonuses or additional forms of pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed