W/C Claims Adjuster 2
W/C Claims Adjuster 2
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Job Description
INDUSTRIAL COMMISSION
Are you ready to work for an exceptional state agency that works to protect the life health and welfare of the employees in the State of Arizona Apply with us! The Industrial Commission of Arizona (ICA) is committed to the highest standards of compliance demonstrating leadership in all areas and teaching and working with employers and employees to make them successful. A thriving workforce in Arizona is what we strive for and work towards each day.
W/C Claims Adjuster 2
Special Fund Division
800 W. Washington St.
Phoenix AZ 85007
Hourly Rate: $33.6538
Grade: 20
Closing Date: Open Until filled
This position is responsible for performing work associated with processing workers compensation benefits for the following Special Fund programs. No Insurance Bankrupt Self-Insured Pre-1973 supportive care with emphasis on Vocational Rehabilitation and Apportionment claims.
This position may offer the ability to work remotely within Arizona based upon the departments business needs and continual meeting of expected performance measures.
The State of Arizona strives for a work culture that affords employees flexibility autonomy and trust. Across our many agencies boards and commissions many State employees participate in the States Remote Work Program and are able to work remotely in their homes in offices and in hoteling spaces. All work including remote work should be performed within Arizona unless an exception is properly authorized in advance.
Will investigate evaluate and analyze Workers Compensation insurance claims and/or no insurance claims and determine eligibility for vocational rehabilitation benefits as well as review apportionment requests and reimburse apportionment annually; make benefits award determinations and negotiate claims settlements; capable of average monthly wage calculations loss of earning award calculations and lifetime award determination; determines fatal accident awards; provides assistance and technical advice to other employees involved in processing claims; coordinates claim litigation; reviews various claim reports and ensures that they are in accord with all applicable requirements; familiar with identification of subrogation potential; maintains electronic files as well as completing claims coding and database information.
Attends staff meetings shares information and participates in problem solving as well as performs related tasks as required.
Knowledge in:
Arizona workers compensation statutes rules of procedure regulations Court of Appeals decisions regarding workers compensation law.
Workers compensation claims processing procedures and best practices.
Federal and State vocational rehabilitation laws.
Medical vocational rehabilitation and insurance terminology.
Early return to work programs.
Litigation management; automated claims management systems.
Claims investigation methodology.
Labor market conditions.
Skills in:
Reach logical claims determinations and make recommendations and/or settlements.
Investigate workers compensation claims and analyze facts relative to the claims.
Negotiate claims settlement.
Ability to:
Communicate verbally and in writing.
Plan organize and analyze claims and medical data.
Interact with claimants carriers third party administrators medical providers attorneys employers claimant dependents and other interested parties.
Utilizing File Handler Salesforce Microsoft Offices and Google suites.
5 years experience managing Arizona Indemnity claims.
If this position requires driving or the use of a vehicle as an essential function of the job then the following requirements apply. Any employee operating a motor vehicle on State business must possess and retain a current valid class-appropriate drivers license complete all required training and successfully pass all necessary drivers license record checks. The license must be current unexpired and neither revoked nor suspended. Employees who drive on state business are subject to drivers license record checks must maintain acceptable driving records and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) R.11).
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
The Arizona Department of Administration offers a comprehensive benefits package to include:
Sick leave
Vacation with 10 paid holidays per year
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
Health and dental insurance
Retirement plan
Life insurance and long-term disability insurance
Optional employee benefits include short-term disability insurance deferred compensation plans and supplemental life insurance
By providing the option of a full-time or part-time remote work schedule employees enjoy improved work/life balance report higher job satisfaction and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
Learn more about the Paid Parental Leave pilot programhere. For a complete list of benefits provided by The State of Arizona please visit our benefits page
You will be eligible to participate in the state employee health/disability insurance plan and you are required to participate in the Arizona State Retirement System (ASRS). ASRS participation may begin immediately or upon your 27th week of employment. Contributions are matched by the employer.
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 542.5559. Requests should be made as early as possible to allow sufficient time to arrange the accommodation.
Employment Type
Full-Time
