Workers' Compensation Claim Consultant

Overview

Workers' Compensation Claim Consultant

Location: Las Vegas, NV

Schedule: 8:00 am - 4:30pm (PST)

Salary Range: $65,000 - $85,000 (depending on experience)

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.

Job Summary

We are seeking an experienced and highly skilled Nevada Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands‑on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. This role also offers a strong development pathway for advancement into more senior claim positions. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients and upholding our high standards of quality and responsiveness.

This is a full life‑cycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

Responsibilities

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

• 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.

Qualifications

Required Qualifications

• 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.

Preferred Qualifications

• 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!

Why You’ll Love Working Here

• 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

How We Measure Success

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

This is where we shine, and we hire adjusters who want to shine with us.

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. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

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.

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

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

• 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.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #NevadaJobs #LasVegasJobs #InsuranceCareers #ClaimsCareers #IND123 #J-18808-Ljbffr