Job Description

Overview:
Workers' Compensation Claim Representative I - Reno, NV (Hybrid)
Location: Reno, Nevada
Schedule: Monday-Friday, 7:30 AM-4:00 PM PST
Work Arrangement: Hybrid after initial training (2-3 days in-office per week)
Salary Range: $53,000-$63,000 annually
Reports To: Workers' Compensation Supervisor
Accounts: Multiple client desk (Casinos, School Districts, Cities, Counties, Temp Agencies, Farming, and more)
Build Your Career With Purpose at CCMSI
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 every day.
Job Summary
We are seeking a Workers' Compensation Claim Representative I to join our Reno, NV team. This position is ideal for someone who values structure, detail, and consistency in their work. You'll investigate and adjust workers' compensation claims for multiple clients across industries such as casinos, schools, municipalities, staffing agencies, and agriculture.
After an initial training period, this position transitions to a hybrid work schedule (2-3 days in-office), offering the perfect balance of collaboration and flexibility. You'll play a key role in delivering high-quality claim service to clients, ensuring timeliness, compliance, and accuracy in every claim you handle. Responsibilities:
Investigate and adjust workers' compensation claims in accordance with Nevada state law and CCMSI claim standards.
Review medical reports, legal correspondence, and invoices to determine reasonableness and relatedness to ongoing claims.
Maintain organized claim files with accurate documentation, timely diary notes, and required correspondence.
Communicate with injured workers, employers, and medical providers to ensure timely resolution and coordination of care.
Monitor and adhere to all compliance deadlines and reporting requirements.
Prepare reports detailing claim status, payments, and reserves as required by clients and excess carriers.
Provide exceptional customer service to both clients and internal partners.
May attend client claim reviews as required.
Qualifications:
Required:
Minimum 1 years of workers' compensation claim handling or related industry experience.
Active Nevada Hearings and Adjuster's Licenses.
Strong organizational and time management skills.
Excellent grammar, letter writing, and communication skills.
Working knowledge of medical terminology and compliance deadlines.
Proficient in Microsoft Office (Word, Excel, Outlook).
Preferred:
Prior experience in a professional office environment with exposure to structured deadlines.
Associates degree or equivalent experience.
Training
Structured training program lasting 6 months to 1 year, depending on prior experience. Training includes hands-on instruction with supervision and ongoing mentorship from experienced adjusters.
Performance Metrics
Performance is measured by client satisfaction, timeliness of claim decisions, file documentation quality, and compliance with closing ratios and processing standards.
What We Offer

• 4 weeks PTO + 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)
• Internal training and advancement opportunities
• A supportive, team-based work environment

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.
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.
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:

• Act with integrity
• Deliver service with passion and accountability
• Embrace collaboration and change
• Seek better ways to serve
• Build up others through respect, trust, and communication
• Lead by example--no matter their title

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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Skills Required