Workers’ Compensation Lost‑Time Adjuster – NV Only - Hybrid
About The Position
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. We are seeking an experienced Workers’ Compensation Claim Representative II to join our team, supporting Trucking and Transportation industry accounts. This position offers a hybrid work model based out of either Carson City or Reno, NV, with work performed Monday–Friday. This role handles Nevada jurisdiction only and is responsible for managing lost‑time workers’ compensation claims, overseeing medical and litigation management, and delivering timely, accurate reporting to clients. A Nevada Resident WC Adjuster License and Nevada Department of Administration Hearings License are required. Please note: This is a claims adjuster role, responsible for full cradle‑to‑grave claim handling. It is not an HR, consulting, or employer‑side position.
Requirements
- Nevada Resident Workers’ Compensation Adjuster License
- Nevada Department of Administration Hearings License
- 5–10 years of workers’ compensation claims experience (preferably lost‑time).
- Strong working knowledge of Nevada WC statutes and regulations .
- Excellent written and verbal communication skills.
- Strong organizational skills and the ability to prioritize in a busy, fast‑paced environment.
- Ability to manage Trucking/Transportation WC claims effectively.
- Professionalism, confidentiality, and a client‑service mindset.
- Reliable, predictable attendance during business hours.
Nice To Haves
- Bachelor’s degree or similar education.
- Bilingual (English/Spanish). — highly valued for communicating with claimants, employers, or vendors, but not required.
- Experience with high‑risk or high‑exposure trucking claims.
Responsibilities
- Investigate, evaluate, and manage Nevada lost‑time workers’ compensation claims in accordance with CCMSI standards and state regulations.
- Oversee medical management, coordinate care, and evaluate treatment plans.
- Direct and manage litigation, including working closely with defense counsel.
- Make compensability (AOE/COE) determinations and maintain thorough documentation.
- Establish, monitor, and adjust reserves within authorized levels.
- Authorize and process benefit payments, including accurate calculation of Nevada disability benefits.
- Provide timely and proactive reporting to clients.
- Review medical, legal, and miscellaneous invoices for accuracy and appropriateness.
- Pursue subrogation opportunities when applicable.
- Maintain timely diaries, document entries, and workflow standards.
- Support excess reporting requirements.
Benefits
- 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
