CCMSI
Medical Only Claim Representative - Medical Only | Nevada WC | Hybrid
CCMSI, Reno, Nevada, United States, 89550
Overview
Position Title:
Medical Only Claim Representative Location:
Reno, NV – Hybrid Work Arrangement:
Hybrid after training (2–3 in-office days per week) Schedule:
Monday–Friday, 7:30 AM to 4:00 PM Hourly Rate:
$22.00–$25.00/hour Jurisdiction:
Nevada (NV) only License/Certification Required:
NV Adjuster’s License required, or ability to obtain Client Type:
Single dedicated Workers’ Compensation client Performance Metrics:
Best practice standards – timely claim decisions, up-to-date documentation, payments, diaries, and emails Growth Potential:
Yes – potential advancement to Lost Time Adjuster after full training
Build Your Career with Purpose At CCMSI, our Medical Only Claim Representatives don’t just process paperwork—they play a key role in helping injured workers recover and return to work. As a 100% employee-owned company, we offer a collaborative culture, meaningful career growth, and the opportunity to be part of something bigger than yourself. Join our Reno team and help deliver high-quality claims service with compassion and integrity.
Job Summary We are seeking a
Medical Only Claim Representative
to handle workers’ compensation claims for a single, dedicated client in the Nevada jurisdiction. This role is ideal for a detail-oriented, organized professional with strong multitasking skills. You’ll work in a
hybrid environment
(in-office 2–3 days/week after training) and will be supported by a knowledgeable team and clear performance standards.
This is a great opportunity for someone looking to grow into a future Lost Time Adjuster role with full training and support provided.
Responsibilities
Manage medical-only workers’ compensation claims according to Nevada regulations and corporate best practices
Establish and monitor claim reserves within authority levels under supervision
Review and process medical invoices, negotiate disputed bills when needed
Coordinate medical treatment and communicate with providers
Summarize and organize medical records, correspondence, and claim notes
Close claim files appropriately and assist with re-filing or records retrieval as needed
Provide technical and administrative support to claim staff and client service teams
Ensure compliance with corporate standards and client-specific instructions
Maintain accuracy and timeliness of all documentation, diaries, and communications
Participate in ongoing training and knowledge development opportunities
Qualifications Required:
Associate degree or at least 2 years of related business or administrative experience
Strong organizational and multitasking skills
Proficiency in Microsoft Office (Word, Excel, Outlook)
Reliable and professional communication skills
NV Adjuster’s License or ability to obtain within required timeframe
Reliable attendance within scheduled client service hours
Nice to Have:
Background in medical terminology or healthcare-related claims
Experience working in a claims, legal, or insurance setting
Performance Metrics
Compliance with best practice standards
Timely claim decisions and documentation
Accuracy of file notes, payments, and diary entries
Responsiveness to internal and external communications
Readiness for growth into Lost Time Adjuster role
What We Offer
Generous PTO:
4 weeks in your first year + 10 paid holidays
Comprehensive Benefits:
Medical, Dental, Vision, Life Insurance, 401(k), and ESOP
Professional Development:
Robust training, advancement paths, and employee ownership
Work Environment:
Supportive, inclusive culture with hybrid flexibility
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.
CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
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, 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
Employee ownership mindset
We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.
#WorkersCompCareers #ClaimsJobs #MedicalOnlyClaims #RenoJobs #HybridJobs #InsuranceCareers #EntryToMidLevelClaims #CCMSICareers #NevadaAdjuster #NowHiring #EmployeeOwned #GreatPlaceToWorkCertified #IND456 #LI-Hybrid
Medical Only Claim Representative Location:
Reno, NV – Hybrid Work Arrangement:
Hybrid after training (2–3 in-office days per week) Schedule:
Monday–Friday, 7:30 AM to 4:00 PM Hourly Rate:
$22.00–$25.00/hour Jurisdiction:
Nevada (NV) only License/Certification Required:
NV Adjuster’s License required, or ability to obtain Client Type:
Single dedicated Workers’ Compensation client Performance Metrics:
Best practice standards – timely claim decisions, up-to-date documentation, payments, diaries, and emails Growth Potential:
Yes – potential advancement to Lost Time Adjuster after full training
Build Your Career with Purpose At CCMSI, our Medical Only Claim Representatives don’t just process paperwork—they play a key role in helping injured workers recover and return to work. As a 100% employee-owned company, we offer a collaborative culture, meaningful career growth, and the opportunity to be part of something bigger than yourself. Join our Reno team and help deliver high-quality claims service with compassion and integrity.
Job Summary We are seeking a
Medical Only Claim Representative
to handle workers’ compensation claims for a single, dedicated client in the Nevada jurisdiction. This role is ideal for a detail-oriented, organized professional with strong multitasking skills. You’ll work in a
hybrid environment
(in-office 2–3 days/week after training) and will be supported by a knowledgeable team and clear performance standards.
This is a great opportunity for someone looking to grow into a future Lost Time Adjuster role with full training and support provided.
Responsibilities
Manage medical-only workers’ compensation claims according to Nevada regulations and corporate best practices
Establish and monitor claim reserves within authority levels under supervision
Review and process medical invoices, negotiate disputed bills when needed
Coordinate medical treatment and communicate with providers
Summarize and organize medical records, correspondence, and claim notes
Close claim files appropriately and assist with re-filing or records retrieval as needed
Provide technical and administrative support to claim staff and client service teams
Ensure compliance with corporate standards and client-specific instructions
Maintain accuracy and timeliness of all documentation, diaries, and communications
Participate in ongoing training and knowledge development opportunities
Qualifications Required:
Associate degree or at least 2 years of related business or administrative experience
Strong organizational and multitasking skills
Proficiency in Microsoft Office (Word, Excel, Outlook)
Reliable and professional communication skills
NV Adjuster’s License or ability to obtain within required timeframe
Reliable attendance within scheduled client service hours
Nice to Have:
Background in medical terminology or healthcare-related claims
Experience working in a claims, legal, or insurance setting
Performance Metrics
Compliance with best practice standards
Timely claim decisions and documentation
Accuracy of file notes, payments, and diary entries
Responsiveness to internal and external communications
Readiness for growth into Lost Time Adjuster role
What We Offer
Generous PTO:
4 weeks in your first year + 10 paid holidays
Comprehensive Benefits:
Medical, Dental, Vision, Life Insurance, 401(k), and ESOP
Professional Development:
Robust training, advancement paths, and employee ownership
Work Environment:
Supportive, inclusive culture with hybrid flexibility
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.
CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
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, 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
Employee ownership mindset
We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.
#WorkersCompCareers #ClaimsJobs #MedicalOnlyClaims #RenoJobs #HybridJobs #InsuranceCareers #EntryToMidLevelClaims #CCMSICareers #NevadaAdjuster #NowHiring #EmployeeOwned #GreatPlaceToWorkCertified #IND456 #LI-Hybrid