Overview
Workers' Compensation Claim Representative II
Compensation: $60,000–$77,000 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 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
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.
Responsibilities
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.
What You’ll Do
- 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.
Qualifications
What You Bring
Required
- 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.
Preferred
- 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 medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
Our Core Values
At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:
- Lead with transparency We build trust by being open and listening intently in every interaction.
- Perform with integrity We choose the right path, even when it is hard.
- Chase excellence We set the bar high and measure our success. What gets measured gets done.
- Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
- Win together Our greatest victories come when our clients succeed.
We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.
#EmployeeOwned #GreatPlaceToWorkCertified#WorkersComp #ClaimsJobs #NevadaJobs #AdjusterJobs #TruckingIndustry #TransportationClaims #HybridJobs #InsuranceCareers #HiringNow #TPACareers #IND123 #LIHybrid
