Workers Compensation Medical Only Claim Representative - In Office (Reno, NV)

Medical Only Claim Representative

At CCMSI, we don't just process claimswe 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.

Job Summary

We are seeking a detail-oriented Medical Only Claim Representative to join our Reno, NV team. In this in-office role, you will manage medical-only workers' compensation claims for a variety of industries including casinos, county entities, school districts, mining, agriculture, construction, cities, and temporary agencies. This role focuses exclusively on Nevada jurisdiction claims.

You will receive structured training during your first year, starting with CCMSI's internal training program, followed by preparation for your Nevada Workers' Compensation Adjuster's License. Within 68 weeks, you will begin making claim determinations, processing bills, and maintaining claim files under the supervision of experienced staff.

Responsibilities

• Make timely and accurate medical-only claim determinations in accordance with Nevada regulations and corporate standards.
• Process billing and payment approvals while ensuring compliance with client-specific handling requirements.
• Attach and manage claim documents, maintain diary notes, and stay current with all email and file communications.
• Request, monitor, and summarize medical treatment and correspondence.
• Work collaboratively with a team of medical-only adjusters, claim representatives, and support staff.
• Participate in local claim meetings as needed.

Qualifications

Required :

Nice to Have :

Performance Metrics

What We Offer

Compensation & Compliance

The posted hourly rate 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. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

Our Core Values

At CCMSI, our Core Values guide how we work : integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do.