Workers' Compensation Claim Consultant

Overview

Workers Compensation Claim Consultant Location: Las Vegas, NV (reporting remotely) Schedule: 8:00 am - 4:30pm (PST) Salary Range: $80,000 - $90,000 (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 Workers’ Compensation Claim Consultant is responsible for investigating and managing assigned workers’ compensation claims while delivering high-quality service aligned with company standards and client expectations. This role also serves as a developmental opportunity for advancement into more senior claims positions. 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

Investigate, evaluate, and manage workers’ compensation claims in compliance with applicable laws and company standards Establish and maintain appropriate claim reserves within authority limits Review and approve medical, legal, and related expenses; resolve disputed invoices as needed Authorize and process claim payments in line with procedures and industry standards Negotiate settlements in accordance with company guidelines, client requirements, and state regulations Coordinate with and oversee external vendors (e.g., legal, medical, surveillance, case management) Monitor subrogation opportunities and pursue recovery when applicable Maintain accurate claim documentation and follow-up activities within the claim system Communicate effectively with clients, claimants, and other stakeholders to ensure timely updates and resolution Prepare claim reports, including status updates, payments, and reserve changes Calculate disability rates in accordance with state guidelines Handle complex claims with minimal supervision Participate in hearings, mediations, and other legal proceedings as needed Support client relationships through claim reviews, training sessions, and high-quality service delivery Ensure compliance with corporate claim standards and client-specific handling instructions

Qualifications

Required California SIP or experienced adjuster license Excellent oral and written communication skills internally and externally Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Responsive to internal and external client needs. Nice to Have: Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required Experience with handling lost time and litigated claims Prior experience handling multiple accounts TPA experience 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. CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws. 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 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. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #NevadaJobs #LasVegasJobs #CareerGrowth #InsuranceJobs #ESOP #IND123 #LI-Remote Apply To This Job