![CCMSI](https://media.trabajo.org/img/noimg.jpg)
Workers' Compensation Claim Adjuster I
3 weeks ago
Overview:
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
- Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
- Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
- Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
- Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
Join our team as a Workers' Compensation Claim Representative I in a hybrid role based out of our Las Vegas office. This position offers a blend of remote work with office presence on Mondays, Tuesdays, and alternate Wednesdays following a 60-day probationary period. The role involves monitoring medical treatments, reserves, and payments for long-term claims, requiring a keen eye for detail and comfort with mathematical calculations.
A valid NV Workers' Compensation Adjusters license is essential, or a commitment to obtain one within the initial 60 days of employment. This role is not just a job; it's a career path with significant growth opportunities within our organization.
As a Workers' Compensation Claim Representative I, you will investigate and manage assigned workers' compensation claims, playing a critical role in maintaining the quality of our claim services as perceived by CCMSI clients and adhering to corporate claim standards. This position can serve as a stepping stone for advanced training and potential promotion to higher-level claim roles, such as a Workers' Compensation Claim Representative II.
If you enjoy working with numbers and are looking to build a rewarding career in workers' compensation claims management, we encourage you to apply and join our dynamic team.
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.
- Performs other duties as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Excellent oral and written communication skills.
- Individual must be a self-starter with strong organizational abilities.
- Ability to coordinate and prioritize required.
- Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
- Discretion and confidentiality required.
- Ability to work as a team member in a rapidly changing environment.
- Reliable, predictable attendance within client service hours for the performance of this position.
- Responsive to internal and external client needs.
- Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
3 or more years of workers compensation claim experience or other related industry experience is required.
Computer Skills
Proficient using Microsoft Office programs such as: Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
NV Adjuster's license is preferred, but not required.
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
#CCMSICareers #ESOP #EmployeeOwned #GreatPlaceToWork #WorkersCompensation #ClaimsManagement #CareerGrowth #JobOpportunity #LasVegasJobs #InsuranceCareers
#ClaimAdjuster #MathSkills #CareerDevelopment #CCMSI #NevadaJobs #ClaimRepresentative
#WorkplaceInjury #InsuranceIndustry #JobOpening #IND123
-
Claims Adjuster Workers Compensation
1 month ago
Las Vegas, United States Arthur J. Gallagher & Co. Full time** Claims Adjuster Workers Compensation** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond...
-
Claims Adjuster Workers Compensation
3 weeks ago
Las Vegas, United States Arthur J. Gallagher & Co. Full time** Claims Adjuster Workers Compensation** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond...
-
Senior Workers Compensation Claims Adjuster
3 weeks ago
Las Vegas, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Claims Adjuster
4 weeks ago
Las Vegas, United States Sedgwick Full time**Claims Adjuster - Workers Compensation (Lost-Time)** **Claims Adjuster - Workers Compensation (Lost-Time)** **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Adjuster - Workers Compensation (Lost-Time)IF YOU CARE, THERES A PLACE FOR YOU HERE...
-
Senior Workers Compensation Claims Adjuster
1 month ago
Las Vegas, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Senior Workers Compensation Claims Adjuster
3 weeks ago
Las Vegas, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Claims Adjuster
3 weeks ago
Las Vegas, United States WAHVE LLC Full timePut your Insurance Experience to work – FROM HOME! At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home. As we say – retire from the office but not from work . Our unique platform provides...
-
Senior Workers Compensation Claims Adjuster
1 month ago
Las Vegas, United States UnitedHealth Group Full timeAt UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and...
-
Workers' Compensation Claims Adjuster
5 days ago
Las Vegas, United States UnitedHealth Group Full timeAt UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and...
-
Workers' Compensation Claims Adjuster
2 weeks ago
Las Vegas, United States UnitedHealth Group Full timeAt UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and...
-
Associate Claims Specialist-Workers Compensation
1 month ago
Las Vegas, United States Liberty Mutual Insurance Full timePay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to...
-
Associate Claims Specialist-Workers Compensation
3 weeks ago
Las Vegas, United States Liberty Mutual Insurance Full timePay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to...
-
Claims Adjuster
3 weeks ago
Las Vegas, United States Nevada Alternative Solutions, Inc. Full timeJob DescriptionJob DescriptionWe are seeking a licensed Nevada Staff Claims Adjuster to become a part of our organization! You will investigate, analyze, and determine the extent of the organization's compensibilty … liability in various Work Comp claims.Responsibilities Correspond and interview with medical specialists, agents, witnesses, or...
-
Las Vegas, Nevada, United States Liberty Mutual Insurance Full timeJob Title: Workers Compensation Claims SpecialistCompany: Liberty MutualPay PhilosophyThe salary range for this role is determined by various factors such as skills, experience, education, certifications, and location. It reflects the competitive market value and offers room for progression as employees develop. Some roles within Liberty Mutual may involve a...
-
Claims Manager
3 weeks ago
Las Vegas, United States Shook and Stone CHTD Full timeJob DescriptionJob DescriptionDescription:Essential Duties and Responsibilities:The Workers' Compensation Claims Manager will play a crucial role in managing and overseeing all aspects of workers' compensation claims for our clients. They will be responsible for ensuring claims are filed accurately and efficiently, monitoring the progress of claims,...
-
Las Vegas, United States Liberty Mutual Insurance Full timePay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to...
-
Las Vegas, United States Liberty Mutual Insurance Full timePay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to...
-
Workers Compensation Manager
1 month ago
Las Vegas, United States Muslusky Law Full timeJob DescriptionJob DescriptionThe ideal candidate should have A minimum of 2 years of experience handling claims in a work comp or medical environment. Previous case management experience is preferred. A Case Manager is the main point of contact for the client and all issues involving claim management, providing a range of legal support to the Workers’...
-
Workers Compensation Manager
3 weeks ago
Las Vegas, United States Muslusky Law Full timeJob DescriptionJob DescriptionThe ideal candidate should have A minimum of 2 years of experience handling claims in a work comp or medical environment. Previous case management experience is preferred. A Case Manager is the main point of contact for the client and all issues involving claim management, providing a range of legal support to the Workers’...
-
Claims Adjuster
2 months ago
Las Vegas, United States Insurance Placement Solutions Full timeInsurance Placement Solutions has an immediate opening for an Auto Warranty Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of auto warranty to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer and resolve claims...