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Every career with Hearst Television is like a story. How it develops, where it takes you, the milestones you reach along the way – you’ve got a lot to look forward to as your unique career story unfolds. Hearst Television, a subsidiary of Hearst, owns and operates local television and radio stations serving nearly three dozen U.S. cities, reaching 24 million U.S. television households. Through its partnership with nearly all major networks, Hearst Television distributes national content across more than 120 video channels, including programming from ABC, NBC, CBS, CW, MY Net, MeTV, This TV, Estrella, and more. Hearst Television is recognized as one of the industry's premier companies. It has been honored with numerous awards for distinguished journalism and industry innovation, including the Walter Cronkite Award for political journalism, the national Edward R. Murrow Award, the DuPont-Columbia Award, and the George Foster Peabody Award.

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Medical Only Claim Representative

Location: Hybrid Carson City, NV or Reno, NV (Nevada workers' compensation jurisdiction only)

Schedule: MondayFriday, 8:00 AM4:30 PM (37.5 hours/week)

Salary Range: $22 to $25/hr (hourly position)

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 claimswe 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

The Medical Only Claim Representative manages a designated caseload of Nevada workers' compensation medical-only claims for a multi-account desk. This role focuses on accurate, timely, and compliant claim handling, ensuring strong documentation, customer service, and file progression.

This position may support career development toward an intermediate-level adjusting role.

This is a true workers' compensation adjuster position responsible for managing claimsnot an HR or consulting role.

Responsibilities

We hire adjusters who take ownership, communicate with purpose, and move files with integrity and accuracy.

Set up and manage Nevada medical-only workers' compensation claims in accordance with corporate claim standards and statutory requirements.
Establish reserves and/or provide reserve recommendations within assigned authority levels under supervision.
Review, approve, and negotiate medical and miscellaneous invoices related to assigned claims.
Request, track, and monitor medical treatment to ensure timely and appropriate care.
Maintain accurate and timely claim documentation, including detailed log notes and diary management.
Summarize medical records and correspondence and ensure documentation is properly filed.
Participate in claim reviews and collaborate with client service teams.
Close claim files when appropriate and retrieve/return closed files to storage as needed.
Maintain compliance with Nevada regulations, corporate Best Practices, and client-specific handling instructions.

Qualifications

What You'll Bring...

Required

NV Adjuster License (or the ability to obtain within 90 days of hire)
Associate Degree or two (2) years of related business experience
Strong organizational skills and the ability to manage multiple tasks and deadlines
Proficiency in Microsoft Office (Word, Excel, Outlook)
Effective written and verbal communication skills
Ability to maintain accurate, timely documentation and purposeful file movement

Nice to Have

Knowledge of medical terminology
Prior experience in workers' compensation or claims administration
Industry certifications or CEU credits supporting licensure
Experience supporting multi-account claims desks
Strong detail orientation and time-management skills
Bilingual (Spanish) proficiency highly valued for communicating with claimants, employers, or vendors, but not required.

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

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 rightfor 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 togetherwe grow together. If that sounds like your kind of workplace, we'd love to meet you.

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers

#WorkersCompJobs #MedicalOnlyClaims #NevadaJobs #RenoJobs #CarsonCityJobs #ClaimsCareers #HybridJobs #IND456 #LI-Hybrid

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Medical Only Claim Representative

Location: Hybrid Carson City, NV or Reno, NV (Nevada workers' compensation jurisdiction only)

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