CCMSI · 2 hours ago
Senior Workers’ Compensation Claim Specialist – Nevada
Scottsdale, AZ
Full-time
Hybrid
Mid, Senior Level
$70K/yr - $85K/yrCCMSI is a leading privately-owned Third Party Administrator (TPA) specializing in risk management solutions. The Workers’ Compensation Claim Specialist will manage the full investigation, evaluation, and adjustment of assigned Workers’ Compensation indemnity claims for a dedicated client account, ensuring compliance with state laws and corporate standards.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Investigate, evaluate, and adjust assigned Workers’ Compensation claims in compliance with Nevada Workers’ Compensation laws
Manage a full indemnity caseload for a single dedicated account
Establish reserves and provide reserve recommendations within assigned authority
Review, approve, and negotiate medical, legal, and related claim expenses
Authorize and issue claim payments in accordance with established procedures and authority limits
Negotiate settlements in alignment with corporate standards, client instructions, and state regulations
Coordinate and oversee outside vendors including defense counsel, case management, and medical providers
Maintain accurate documentation, activity notes, and diaries within the claim system
Identify and monitor subrogation opportunities through resolution
Calculate and apply disability rates and benefits in accordance with state law
Communicate effectively with injured workers, employers, attorneys, and internal partners
Ensure compliance with CCMSI claim handling standards and client-specific requirements
Qualification
Required
Active Nevada Workers' Compensation Adjuster License – REQUIRED
Arizona license accepted via NV ↔ AZ reciprocity, if applicable
Proven experience adjusting Workers' Compensation indemnity claims
Strong working knowledge of Nevada Workers' Compensation statutes and regulations
Ability to independently manage a full caseload for a dedicated account
Excellent written and verbal communication skills
Strong analytical, organizational, and negotiation abilities
High level of professionalism, discretion, and confidentiality
Reliable, predictable attendance during scheduled client service hours
Proficiency with Microsoft Office and claim management systems
Preferred
Experience supporting a single-client or dedicated account model
Prior experience with Nevada-only WC claim handling
Professional designations such as AIC, ARM, or CPCU
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required
Benefits
4 weeks PTO (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
Company
CCMSI
CCMSI is a third-party administrator for workers' compensation and property/casualty self-insurance programs.
Founded in 1978
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
Company data provided by crunchbase