Job description

Experience Required:

• High School diploma
• 5+ years of customer service experience and/or workers compensation insurance.

Position Description:

• This position of the Workers Compensation is responsible for auditing claims documents for compliance with applicable workers compensation claims management laws, statutes, and case laws.
• This position will audit insurance carriers, self-insured employers and third-party administrators adjusting workers compensation claims; reviews all notices, attached medical and/or documentation to verify it supports current change of status and/or calculation of Average Monthly Wage.
• This job involves moderate amount of customer contact and repetitive review of recommended average monthly wage forms, performing review of calculations using internal software and tools to assist and approving/denying the request.
• After analysis, the Specialist will issue correct corresponding award, notification, or document; answer incoming phone calls from injured workers, attorneys, interested parties, claim adjusters, medical providers, and public.
• Additionally, this position will be responsible for matching documents lacking information to existing Commission claims files by researching information in Claims database and for creating a new claim file for documents received when there is no existing claim file; provide backup assistance to compliance, data entry, error resolution, no match or combine/delete as requested

Skills Required:

• Basic knowledge or ability to learn applicable workers compensation claims management laws, statutes, case laws.
• Basic Medical terminology.
• Microsoft Office Suite; Outlook, Word, Excel.
• Basic English
• Basic Mathematics Skill in:
• Effectively able to communicate verbally and in writing to resolve disputes with interested parties.
• Basic analysis of insurance, medical and legal documents.
• Review and interpret Arizona Workers' Compensation laws, rules, procedures, and court decisions
• Strong critical thinking skills
• Time Management
• Initiative and attention to detail
• Strong focus on customer service
• Strong organizational and planning skills
• Responsible for high quality, nearly error-free output
• Basic organizational, analytical skills.
• Ability to Manage heavy workload with high level of accuracy and production.
• Learn computer systems and applications.
• Work well within a diverse and inclusive office environment.
• Timely process documents within established productivity standard and prioritizes work within established time frames.
• Manage time effectively and meet deadlines.
• Adapt to changing circumstances.
• Demonstrate initiative and attention to detail.
• Exercise discretion and judgment.
• Works well under pressure.
• Ability to perform job responsibilities incorporating lean management and principles of the Arizona Management System.
• Effectively train internal and external customers in small and large group settings.

Job Type: Full-time

Pay: From $18.73 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• No weekends

Ability to commute/relocate:

• Phoenix, AZ 85007: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• What is the best email to reach you?

Experience:

• Customer Service: 5 years (Preferred)
• Workers compensation insurance: 2 years (Preferred)

Work Location: In person

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