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Medical Only Claim Adjuster Jobs (NOW HIRING)

Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada workers ... We hire adjusters who take ownership, communicate with purpose, and move files with integrity and ...

Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada workers ... We hire adjusters who take ownership, communicate with purpose, and move files with integrity and ...

Overview Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada ... Responsibilities We hire adjusters who take ownership, communicate with purpose, and move files ...

Overview Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada ... Responsibilities We hire adjusters who take ownership, communicate with purpose, and move files ...

Overview Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada ... Responsibilities We hire adjusters who take ownership, communicate with purpose, and move files ...

$45K - $55K/yr

Overview Claim Representative, Medical Only - Pennsylvania Workers' Compensation Location : Remote ... A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand ...

Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV Schedule: Monday ... Responsibilities We hire adjusters who take ownership, communicate with purpose, and move files ...

Overview Claim Representative - Medical Only Location: Albuquerque, NM (In-Office) Schedule: Monday ... Active New Mexico Adjuster License OR ability to obtain within 60 days of hire * Strong attention ...

Overview Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada ... ResponsibilitiesWe hire adjusters who take ownership, communicate with purpose, and move files with ...

Overview Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada ... ResponsibilitiesWe hire adjusters who take ownership, communicate with purpose, and move files with ...

Overview Claim Representative - Medical Only Location: Albuquerque, NM (InOffice) Schedule: Monday ... Active New Mexico Adjuster License OR ability to obtain within 60 days of hire * Strong attention ...

Overview Claim Representative, Medical Only Location : Wall Township, NJ Schedule: In Office for ... A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand ...

Claim Representative - Medical Only Location: Albuquerque, NM (InOffice) Schedule: Monday-Friday, 8 ... Active New Mexico Adjuster License OR ability to obtain within 60 days of hire * Strong attention ...

Train and lead a team of Medical Only Claim Adjusters. * Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws. * Reserve establishment and ...

Train and lead a team of Medical Only Claim Adjusters. * Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws. * Reserve establishment and ...

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Medical Only Claim Adjuster information

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$41K

$76K

$99K

How much do medical only claim adjuster jobs pay per year?

As of Aug 27, 2026, the average yearly pay for medical only claim adjuster in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

What is a medical only claim adjuster?

A Medical Only Claim Adjuster is a professional who handles workers’ compensation claims that involve only medical treatment, without any lost time from work or wage replacement. Their primary responsibility is to review, process, and manage claims where employees have sustained minor injuries or illnesses at work that require medical attention but do not prevent them from returning to their job. Medical Only Claim Adjusters communicate with claimants, healthcare providers, and employers to ensure proper documentation and timely payment of medical bills. They also help ensure that claims comply with state laws and company policies. This role is vital in maintaining cost-effective and efficient claims management for employers and insurance companies.

What are the key skills and qualifications needed to thrive as a medical only claim adjuster?

To thrive as a Medical Only Claim Adjuster, you need a solid understanding of insurance claims processes, medical terminology, and state regulations, often supported by a relevant bachelor's degree or industry certification. Familiarity with claims management software, such as Guidewire or ClaimCenter, and experience with electronic document management systems are typically required. Strong analytical thinking, attention to detail, and effective communication help adjusters investigate claims thoroughly and interact professionally with medical providers and claimants. These skills ensure accurate claim resolution, compliance with legal standards, and positive outcomes for both insurers and clients.

What are some common challenges faced by medical only claim adjusters, and how can they be managed?

Medical Only Claim Adjusters often navigate challenges such as handling high claim volumes, ensuring timely communication with medical providers, and staying updated on changing regulations. Managing these challenges requires strong organizational skills, attention to detail, and effective communication to clarify medical documentation and expedite claim resolution. Building positive relationships with healthcare professionals and keeping up with continuing education can also help adjusters manage their caseload efficiently and stay compliant with industry standards.

What is the difference between Medical Only Claim Adjuster vs Workers' Compensation Claims Adjuster?

AspectMedical Only Claim AdjusterWorkers' Compensation Claims Adjuster
CertificationsAdjuster license, medical claims knowledgeAdjuster license, workers' comp regulations
Work EnvironmentInsurance companies, healthcare providersInsurance companies, employers, healthcare providers
Industry UsageHealth insurance, medical claimsWorkers' compensation insurance, injury claims

The Medical Only Claim Adjuster primarily handles medical claims related to health insurance, focusing on medical bills and provider communications. In contrast, the Workers' Compensation Claims Adjuster manages claims related to workplace injuries, including both medical and disability benefits. While both roles require adjuster licensing and knowledge of insurance processes, their focus areas and industry applications differ significantly.

More about Medical Only Claim Adjuster jobs

What cities are hiring for Medical Only Claim Adjuster jobs?

Cities with the most Medical Only Claim Adjuster job openings:

What states have the most Medical Only Claim Adjuster jobs?

States with the most job openings for Medical Only Claim Adjuster jobs include:

Infographic showing various Medical Only Claim Adjuster job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Claim Representative, Medical Only

Carson City, NV • On-site


CCMSI
Insurance Services • 1 - 5K employees

7.7

Company rating: 7.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Great coworkers

People enjoy working here

Good employer


$22 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Job description

Medical Only Claim Representative
Location: Hybrid – Carson City, NV or Reno, NV

(Nevada workers’ compensation jurisdiction only)

Schedule: Monday–Friday, 8:00 AM–4:30 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 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

The Medical Only Claim Representative manages a designated caseload of Nevada workers’ compensation medical-only claims for a multiaccount 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 claims—not an HR or consulting role.


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.

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 multiaccount 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 

 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.

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 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

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


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