Remote W/C Claims Specialist II

Arizona State Government; Phoenix (AZ); Hybrid; USD 23,000 - 29,000; Full time

Benefits offered by this job

Sick leave

Vacation with 10 paid holidays per yr

Health and dental insurance

Retirement plan

Life insurance and long-term disabled

Job summary

Industrial Commission of Arizona is seeking a W/C Insurance Claims Specialist 2 to audit incoming claims for compliance with workers' compensation laws and to issue appropriate awards when indicated. Some remote work within Arizona may be available based on performance and business needs.

Responsibilities include reviewing notices, researching records in the Claims database, and assisting with file creation or updates. Strong attention to detail and customer service are essential in this role.

Qualifications

• Knowledge of workers' compensation claims management laws, statutes, and case laws.
• Basic medical terminology.
• Proficiency with Microsoft Office (Outlook, Word, Excel).
• Basic English communication skills.
• Basic mathematics.
• Familiarity with insurance claims adjusting standards and practices.

Responsibilities

• Audit incoming claims documents for compliance with workers' compensation laws and regulations.
• Review notices and attached medical/documents to verify support for status, wage, and awards; issue correct awards.
• Respond to calls from injured workers, attorneys, claim adjusters, medical providers and the public.
• Match documents to existing claims or create new claim files as needed; provide backup data-entry support.

Skills

Communication

Analytical thinking

Microsoft Office

Time management

Customer service

Attention to detail

Education

High school diploma or equivalent

Job description

Industrial Commission of Arizona is seeking a W/C Insurance Claims Specialist 2 to audit incoming claims for compliance with workers' compensation laws and to issue appropriate awards when indicated. Some remote work within Arizona may be available based on performance and business needs.

Responsibilities include reviewing notices, researching records in the Claims database, and assisting with file creation or updates. Strong attention to detail and customer service are essential in this role.