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

Job Location:

     Special Fund Division

800 W. Washington St.

Phoenix, AZ  85007

Posting Details:

Hourly Rate: $33.6538 

Grade: 20

Closing Date:  Open Until filled

Job Summary:

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 department's 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 State’s 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.

Job Duties:

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, Skills & Abilities (KSAs):

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.

Selective Preference(s):

5 years experience managing Arizona Indemnity claims.

Pre-Employment Requirements:

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 driver’s license, complete all required training, and successfully pass all necessary driver’s license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to driver’s license record che