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SalaryINDUSTRIAL COMMISSION
Are you ready to work for an exceptional state agency that works to protect the life, health, safety 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 INSRNCE CLMS SPCT 2
Job Location:
Special Fund Division
800 W Washington St.
Phoenix, AZ 85007
Hourly Rate: $19.5674
Grade: 17
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.
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:
- Reviews, analyzes, and proactively manages workers’ compensation claims to ensue legal and timely benefits; Analyzes and applies the following: Internal best practices standards, Occupation Disability Guidelines, Arizona Workers’ Compensation laws, rules and case law decisions.
- Analyze, investigate, and complete compensability decisions on Medical Only Claims; Conducts claims investigations; Identifies claims with subrogation potential.
- Review and timely authorize medical bills, as indicated; Timely authorizes compensation for Loss of Earnings Capacity and Fatality benefits.
- Negotiates and settles claims; develop and maintain reserves and plan of action to manage the claim to resolution.
- Provides high quality and timely customer service to internal and external customers; initiates and maintains professional customer relationships with claimants, employees, attorneys, and medical providers.
Knowledge, Skills & Abilities (KSAs):
- Policies and procedures pertaining to Arizona workers’ compensation claims adjusting.
- Verbal and written communication skills
- Insurance, legal and medical terminology.
- Microsoft Office Suite; Word, Excel, Google Chrome.
- Basic English.
- Basic mathematics.
Skills in
- Effectively communicate verbally and in writing to resolve disputes with interested parties.
- Analyze moderately complex insurance, medical and legal documents.
- Review and interpret laws, rules, procedures, and court decisions.
- Strong critical thinking.
- Computer.
- Time management.
- Initiative and attention to detail.
- Strong focus on customer service.
- Strong organizational and planning skills.
Ability to
- Interpret large and moderately complex claim files.
- Manage heavy workload with high level of accuracy and production.
- Learn computer systems and applications.
- Work well within a diverse and inclusive office environment.
- Manage time effectively and meet deadlines.
- Adapt to changing circumstances.
- Demonstrate initiative and attention to detail.
- Exercise discretion and judgment.
- Works well under pressure.
- Recognize and engage those with different backgrounds, characteristics, and perspectives to bridge gaps in understanding of differing viewpoints, as well as ensuring persons with diverse perspectives are given the opportunity to collaborate and provide input.
Selective Preference(s):
- 3-5 years’ experience with Medical Only 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 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.) R2-10-207.11).
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
- Affordable medical, dental, life, and short-term disability insurance plans
- Top-ranked retirement and long-term disability plans
- 10 paid holidays per year
- Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
- Sick time accrued at 3.70 hours bi-weekly
- Deferred compensation plan
- Wellness plans
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.
Retirement:
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.
Contact Us:
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
