Overview
Workers' Compensation Claim Representative II
Compensation: $60,000–$75,000 annually (based on experience)
Schedule: Monday–Friday
Work Model: Hybrid (based out of Las Vegas branch)
Jurisdiction: Nevada only
Client Structure: Single dedicated account
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 Las Vegas, NV branch. This hybrid position supports a single dedicated client and manages a blended caseload of medical‑only and indemnity Nevada workers’ compensation claims. After initial training, the hybrid schedule includes in‑office days on Monday, Tuesday, and every other Wednesday, with the remainder of the week worked remotely.
This role handles Nevada jurisdiction only and requires strong communication, time management, and technical claims abilities. A Nevada Workers’ Compensation Adjuster License is 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 administrative 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 files independently while partnering with a high‑performing team.
What You’ll Do
- Manage a blended desk of medical‑only and indemnity Nevada workers’ compensation claims.
- Investigate claims, make timely AOE/COE decisions, and maintain thorough documentation.
- Oversee medical management, coordinate care, and evaluate treatment progress.
- Communicate proactively with claimants, employers, providers, and attorneys.
- Establish and adjust reserves within authority levels.
- Issue timely benefit payments, ensuring accurate calculation of Nevada disability benefits.
- Direct and manage litigation with defense counsel as needed.
- Maintain diaries, documentation, and reporting in accordance with CCMSI best practices.
- Support excess reporting and identify subrogation opportunities as applicable.
- Deliver clear, timely reporting and communication to the client.
Qualifications
What You Bring
Required
- Nevada Workers’ Compensation Adjuster License.
- Experience managing Nevada lost‑time workers’ compensation claims.
- Strong communication, customer service, and time‑management skills.
- Ability to prioritize and remain organized in a busy environment.
- Strong understanding of Nevada WC statutes, timelines, and filing requirements.
- Ability to work independently while supporting a large collaborative team.
- Reliable, predictable attendance during business hours.
Preferred
- Experience with presumptive benefits.
- Bachelor’s degree or similar education.
- Bilingual (English/Spanish) - highly valued for communicating with claimants, employers, or vendors, but not required.
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.
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