Workers' Compensation Claim Consultant

• →Investigate, evaluate, and adjust claims in accordance with claim handling standards and applicable laws.
• →Establish reserves and provide reserve recommendations within assigned authority levels.
• →Review and approve medical, legal, damage estimate, and miscellaneous invoices; negotiate disputed charges when necessary.
• →Authorize and issue claim payments in accordance with established procedures, industry standards, and payment authority.
• →Negotiate claim settlements in compliance with Corporate Claim Standards, client-specific instructions, and state laws.
• →Select, refer, and oversee claim files assigned to outside vendors, including legal counsel, surveillance, and case management services.
• →Evaluate and monitor subrogation opportunities through resolution.
• →Maintain timely and accurate claim diaries and documentation.
• →Promote and maintain a high level of client satisfaction.
• →Prepare claim status, payment, and reserve reports as requested.
• →Calculate disability rates in accordance with state regulations.
• →Ensure timely and effective communication with clients, claimants, and other involved parties throughout the claims process.
• →Prepare newsletter articles and client communications as requested.
• →Provide required notifications to excess and reinsurance carriers.
• →Handle complex claims with minimal supervision.
• →Conduct claim reviews and training sessions for clients as requested.
• →Represent claims at hearings, mediations, and informal legal conferences as appropriate.
• →Maintain compliance with Corporate Claim Handling Standards and client-specific handling requirements.

• 5+ years of Nevada Workers’ Compensation claims experience.
• Nevada adjuster’s license or ability to obtain one.
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
• Excellent oral and written communication, negotiation, and interpersonal skills.
• Strong analytical, organizational, and problem-solving abilities with exceptional attention to detail.
• Self-motivated professional with the initiative to set and achieve performance goals.
• Ability to effectively prioritize, coordinate, and manage multiple responsibilities in a fast-paced, evolving environment.
• Demonstrated flexibility, accuracy, and ability to work independently with minimal supervision.
• Knowledge of lower-level workers’ compensation claims functions and responsibilities.
• Ability to maintain confidentiality and exercise sound professional judgment.
• Reliable, predictable attendance during client service hours.

• Bachelor’s degree is preferred but not required.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Experience handling municipal accounts is a plus!

• 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

 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

• Quality claim handling – thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance – adherence to jurisdictional and client standards
• Timeliness & accuracy – purposeful file movement and dependable execution
• Client partnership – proactive communication and strong follow-through
• Professional judgment – owning outcomes and solving problems with integrity
• Cultural alignment – believing every claim represents a real person and acting accordingly

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed. 

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