Workers Compensation Lost-Time Adjuster NV - Hybrid

Workers' Compensation Claim Representative II

Compensation: $60, annually (based on experience)

Schedule:

Monday Friday

Work Model:
Hybrid (Carson City or Reno, NV)

Jurisdiction:
Nevada only

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 claimswe 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.

When we hire adjusters, we look for professionals who take ownership of their work, navigate complex claims with confidence, and deliver exceptional service with integrity. In this role, you'll manage your Nevada claims independently while contributing to a collaborative, high-performing team.

• 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.

• Nevada Resident Workers' Compensation Adjuster License
• Nevada Department of Administration Hearings License
• 510 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.

• 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.

Why You'll Love Working Here

• 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

How We Measure Success

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

• 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 execution
• Client 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

This is where we shine, and we hire adjusters who want to shine with us.

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.

CCMSI offers comprehensive benefits including…