What are the responsibilities and job description for the Workers' Compensation Claims Adjuster - (Hybrid) position at CCMSI?
Overview
Workers' Compensation Claim Consultant
Location : Las Vegas, NV (Hybrid)
Schedule : Monday–Friday, 8 : 00 AM–4 : 30 PM (Hybrid after training period)
Salary Range : $65,000–$75,000
A Workers' Compensation Claim Consultant investigates, evaluates, and adjusts claims based on established standards, laws, and corporate guidelines. They establish and recommend reserves, review medical and legal invoices, and negotiate disputed bills. The consultant authorizes claim payments and negotiates settlements within state laws and company standards. They coordinate with outside vendors for specialized services, monitor subrogation claims, and maintain an organized diary on claim systems. The consultant prepares reports, handles complex claims, and communicates with clients and claimants effectively. They also participate in legal proceedings, provide training, and ensure compliance with all relevant standards.
Responsibilities
- Investigate, evaluate, and adjust workers' compensation claims per corporate standards and state laws.
- Establish and recommend reserves within authority levels.
- Review and approve medical, legal, and damage-related invoices.
- Negotiate settlements in line with client-specific instructions and state regulations.
- Maintain a personal diary of claim activity and prepare detailed status reports.
- Compute disability rates and ensure compliance with jurisdictional laws.
- Communicate effectively with clients, claimants, and vendors throughout the process.
- Participate in claim reviews, training sessions, mediations, or hearings as needed.
Qualifications
Skills & Qualifications :
Nice to Have :
Performance Metrics : Your performance will be evaluated through regular audits and supervisor reviews.
Why Join CCMSI?
Take the next step in your career with CCMSI—where your skills, experience, and passion make a difference every day.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K. CCMSI conducts background checks in accordance with applicable federal, state, and local laws.
Disclaimer : The posted salary range reflects the anticipated base pay for this role. Actual pay will depend on factors such as qualifications, experience, location, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. This range complies with state and local transparency laws. Please discuss any questions about compensation or benefits with our hiring team.
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Salary : $65,000 - $75,000
