Workers' Compensation Claim Adjuster - Nevada Claims

Overview Workers' Compensation Claim Adjuster - Nevada Claims 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…