Remote Workers' Comp Claims Auditor

State of Arizona; Phoenix (AZ); Remote; USD 23,000 - 24,000; Full time

Benefits offered by this job

Sick leave

Vacation with 10 paid holidays

Health and dental insurance

Retirement plan

Life insurance and long-term disable

Optional benefits include short-term,

Job summary

The Industrial Commission in Phoenix, AZ is hiring a W/C Insurance Claims Specialist 2 to audit incoming workers' compensation claim documents for compliance with laws and case precedents. The role may offer remote work within Arizona depending on performance and business needs.

Responsibilities include analyzing forms, determining Awards, reviewing notices and documentation, handling inquiries from workers and professionals, and creating new claim files when needed.

Qualifications

• Basic knowledge of applicable workers compensation claims management laws, statutes, and case laws.
• Basic Medical terminology.
• Microsoft Office Suite; Outlook, Word, Excel.
• Basic English
• Basic Mathematics
• The insurance industry claims adjusting standards and practices.

Responsibilities

• Audit forms for compliance and issue appropriate awards when indicated.
• Audit insurance carriers, self-insured employers and third party administrators adjusting workers compensation claims.
• Review notices, attached medical and/or documentation to verify it supports current change of status and/or calculation of wage and awards.
• Match documents lacking information to existing Commission claims files by researching information in Claims database and create new claim file when none exists.
• Answer incoming calls from injured workers, attorneys, interested parties, claim adjusters, medical providers and general public.
• Provide backup assistance to data entry, error resolution, insurance or combine/delete, as requested; participate in AMS and daily Huddle board.

Skills

WC knowledge

Medical terminology

Microsoft Office

Basic English

Basic Math

Insurance claims

Education

HS diploma

Tools

Outlook

Word

Excel

Job description

The Industrial Commission in Phoenix, AZ is hiring a W/C Insurance Claims Specialist 2 to audit incoming workers' compensation claim documents for compliance with laws and case precedents. The role may offer remote work within Arizona depending on performance and business needs.

Responsibilities include analyzing forms, determining Awards, reviewing notices and documentation, handling inquiries from workers and professionals, and creating new claim files when needed.