Workers’ Compensation Claim Consultant, Senior

Location: Reno, NV. Build Your Career With Purpose at CCMSI. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem‑solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee‑owners are empowered to grow, collaborate, and make meaningful contributions every day.

Schedule

7:00am - 3:30pm (PST) - Hybrid schedule after initial training period (First 30 days in office - then 2 days in office then 3 days work from home, 3 days in office then 2 days work from home).

Pay

Salary Range: $85,000 - $95,000. 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. This role may also qualify for bonuses or additional forms of pay.

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

Responsibilities

• Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
• Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims.
• Negotiate any disputed bills for resolution.
• Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client's authorization.
• Assist in selection and supervision of defense attorneys.
• Assess and monitor subrogation claims for resolution.
• Prepare reports detailing claims, payments and reserves.
• Provide reports and monitor files, as required by excess insurers.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.

Required Qualifications

• Excellent oral and written communication skills.
• 5+ years of Nevada Workers’ Compensation claims management experience or equivalent combination of experience and education.
• NV Adjuster’s license is required.
• Self‑starter with strong organizational skills and the ability to work with minimal supervision.
• Extensive experience managing high‑exposure Heart, Lung, Cancer, and Catastrophic workers’ compensation claims for public entity clients.
• Flexibility, initiative, and adaptability in a fast‑paced, rapidly changing environment.
• Strong litigation management skills, including coordinating with defense counsel and developing effective claim resolution strategies.
• Strong discretion and ability to maintain confidentiality.
• Ability to work effectively as part of a team