Workers’ Compensation Medical Only Claim Representative - In Office (Reno, NV)

CCMSI • NV

102d • $22 - $24

About The Position

At CCMSI, we don’t just process claims—we support people. As a leading Third Party Administrator and a certified Great Place to Work®, we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact. We are seeking a detail-oriented Medical Only Claim Representative to join our Reno, NV team. In this in-office role, you will manage medical-only workers’ compensation claims for a variety of industries including casinos, county entities, school districts, mining, agriculture, construction, cities, and temporary agencies. This role focuses exclusively on Nevada jurisdiction claims. You will receive structured training during your first year, starting with CCMSI’s internal training program, followed by preparation for your Nevada Workers’ Compensation Adjuster’s License. Within 6–8 weeks, you will begin making claim determinations, processing bills, and maintaining claim files under the supervision of experienced staff.

Requirements

• Strong typing, grammar, spelling, and data entry accuracy.
• Excellent phone, communication, and customer service skills.
• Ability to multi-task and manage competing priorities in a fast-paced environment.
• Nevada Adjuster’s License preferred, or the ability to obtain one within 60 days of hire.

Nice To Haves

• Familiarity with medical terminology.
• Prior claims, insurance, or office experience.

Responsibilities

• Make timely and accurate medical-only claim determinations in accordance with Nevada regulations and corporate standards.
• Process billing and payment approvals while ensuring compliance with client-specific handling requirements.
• Attach and manage claim documents, maintain diary notes, and stay current with all email and file communications.
• Request, monitor, and summarize medical treatment and correspondence.
• Work collaboratively with a team of medical-only adjusters, claim representatives, and support staff.
• Participate in local claim meetings as needed.

Benefits

• Employee Stock Ownership Plan (ESOP): We’re employee-owned, so your success is our success.
• Comprehensive Benefits Package: Includes medical, dental, vision, life insurance, disability, and 401(k).
• Generous Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
• Career Growth: Structured training, career progression pathways, and opportunities to advance within CCMSI.
• Supportive Environment: Manageable caseloads and a collaborative, team-focused culture.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level