Workers' Claim Representative

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.

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

• 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.

• 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.

• 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

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
  • Profess…