CCMSI · 1 day ago
Workers’ Compensation Lost‑Time Adjuster – NV Only - Hybrid
US-NV-Carson City
Full-time
Hybrid
Senior Level
$60K/yr - $77K/yr
5+ years expCCMSI is a leading Third Party Administrator specializing in risk management solutions. They are seeking an experienced Workers’ Compensation Claim Representative II to manage lost-time workers’ compensation claims, ensuring compliance with Nevada regulations while delivering exceptional service.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
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
Qualification
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
Benefits
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
Company
CCMSI
CCMSI is a third-party administrator for workers' compensation and property/casualty self-insurance programs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
Company data provided by crunchbase