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Workers Compensation Claim Representative Jobs (NOW HIRING)

Overview Workers' Compensation Claim Supervisor Location: Irvine, CA (reporting remotely) Schedule ... every claim represents a real person and acting accordingly This is where we shine, and we hire ...

Overview Workers' Compensation Claim Specialist Location: Irvine, CA (reporting remotely) Schedule ... Cultural alignment - believing every claim represents a real person and acting accordingly This is ...

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Workers Compensation Claim Representative information

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How much do workers compensation claim representative jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for workers compensation claim representative in the United States is $26.47, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $32.69 per hour, depending on experience, location, and employer.

What does a workers compensation claim representative do?

A Workers Compensation Claim Representative manages and processes claims made by employees who are injured or become ill as a result of their job. They investigate the details of each case, review medical reports, communicate with claimants, employers, and healthcare providers, and ensure that claims are handled according to state and federal laws. Their goal is to ensure fair and timely compensation for injured workers while also protecting the interests of the employer or insurance company. They also help facilitate return-to-work programs and may negotiate settlements when necessary.

What are the key skills and qualifications needed to thrive as a workers compensation claim representative?

To thrive as a Workers Compensation Claim Representative, you need a solid understanding of insurance policies, claims processing, and relevant state regulations, often supported by a bachelor's degree or prior claims experience. Familiarity with claims management software, medical terminology, and industry certifications like Associate in Claims (AIC) is commonly required. Strong analytical skills, attention to detail, and effective communication help build trust with clients and facilitate negotiations. These skills ensure accurate claims handling, regulatory compliance, and positive client outcomes.

What are some typical challenges faced by workers compensation claim representatives, and how can they be managed?

Workers Compensation Claim Representatives often encounter challenges such as managing a high caseload, navigating complex medical and legal documentation, and balancing the needs of injured employees with employer and insurer requirements. Effective time management, attention to detail, and strong communication skills are essential for handling these responsibilities efficiently. Regular collaboration with medical professionals, attorneys, employers, and claimants is key to ensuring accurate claims processing, prompt resolution, and fair outcomes for all parties involved.

What is the difference between Workers Compensation Claim Representative vs Claims Adjuster?

AspectWorkers Compensation Claim RepresentativeClaims Adjuster
CredentialsState-specific licensing or certification often requiredAdjuster license, certifications like AIC or CPCU often required
Work EnvironmentInsurance companies, government agencies, or third-party administratorsInsurance companies, third-party administrators, or self-insured employers
Job FocusManaging workers' compensation claims, advocating for injured workersInvestigating, evaluating, and settling insurance claims

Both roles involve handling insurance claims, but the Workers Compensation Claim Representative primarily focuses on workers' compensation cases and advocating for injured employees, while the Claims Adjuster handles a broader range of insurance claims across various lines. They share similar credentials and work environments, making them closely related but distinct in their specific responsibilities.

What cities are hiring for Workers Compensation Claim Representative jobs?

Cities with the most Workers Compensation Claim Representative job openings:

What are the most commonly searched types of Workers Compensation Claim Representative jobs?

The most popular types of Workers Compensation Claim Representative jobs are:

What states have the most Workers Compensation Claim Representative jobs?

States with the most job openings for Workers Compensation Claim Representative jobs include:

Infographic showing various Workers Compensation Claim Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $55,061 per year, or $26.5 per hour.

Workers' Compensation Claim Representative I

CCMSI

Reno, NV • On-site

$60K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz


Job description

Workers' Compensation Claim Rep I 

Location: Reno, Nevada (Hybrid Schedule after initial training) 
Schedule: Mon - Fri 8:00 am - 4:30 pm (PST) 
Compensation: $60,000 - $72,000 (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 

The Nevada Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position.  Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.


When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

  • 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.

What You’ll BringRequired
  • 3+ years of Nevada Workers’ Compensation claims experience or related insurance industry experience.

  • Experience handling Nevada Lost Time Claims
  • Strong organizational skills with the ability to prioritize and manage multiple tasks independently.

  • Effective verbal and written communication skills for interaction with internal teams, clients, and external partners.

  • Ability to work collaboratively in a fast-paced, changing environment while maintaining accuracy and confidentiality.

  • Reliable and predictable attendance during established hours.

  • Proficiency with Microsoft Office applications (Word, Excel, Outlook).

  • Active adjuster license in Nevada or ability to obtain one. 
Nice to Have
  • Associate’s degree or higher, or related insurance indusstry experience.

  • Past experience handling transportation and construction accounts 
  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

  • 4 weeks PTO + 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.

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. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer:

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

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.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #RenoJobs #NevadaJobs #InsuranceCareers #ClaimsCareers #IND123 #LI - Hybrid 


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