Senior Workers' Compensation Claims Examiner – Hybrid, Growth & Benefits

Canon Recruiting Group; Phoenix (AZ); Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

Life insurance

Disability insurance

401(k) plan

Paid time off

Paid holidays

Referral bonus

Hybrid work

Job summary

Canon Recruiting Group in Phoenix, AZ, seeks an experienced Workers’ Compensation Claims Examiner III to manage indemnity claims from inception to resolution in a hybrid Full-Time role.

The ideal candidate will have strong knowledge of Arizona workers’ compensation regulations, exceptional claims management skills, and experience handling indemnity claims independently in a dynamic, well-established third-party administrator environment.

Qualifications

• Minimum 5 years of workers’ compensation claims handling experience.
• Strong Arizona indemnity experience preferred.
• Experience managing complex and litigated claims.
• Knowledge of workers’ compensation laws, medical terminology, and claims procedures.
• Experience with self-insured accounts preferred.
• Public entity claims experience is a plus.
• Strong organizational, negotiation, and communication skills.
• Ability to manage a full caseload independently.
• Bachelor's degree preferred.
• Applicable claims certifications or licenses as required.

Responsibilities

• Manage an average caseload of approximately 130 workers’ compensation claims, including complex indemnity files.
• Investigate claims, determine compensability, and administer benefits in accordance with state regulations.
• Develop and execute action plans to ensure timely and effective claim resolution.
• Coordinate medical treatment, review medical billing, and authorize appropriate services.
• Calculate and issue indemnity benefits and maintain accurate claim reserves.
• Manage litigated claims and coordinate with defense counsel.
• Identify and pursue subrogation and recovery opportunities.
• Negotiate settlements within established authority limits.
• Maintain detailed claim documentation, diary systems, and reporting.
• Communicate with injured workers, employers, medical providers, attorneys, and clients.
• Conduct independent file reviews and ensure compliance with applicable regulations.

Skills

Communication skills

Negotiation skills

Organizational skills

Education

Bachelor's degree preferred

Job description

Canon Recruiting Group in Phoenix, AZ, seeks an experienced Workers’ Compensation Claims Examiner III to manage indemnity claims from inception to resolution in a hybrid Full-Time role.

The ideal candidate will have strong knowledge of Arizona workers’ compensation regulations, exceptional claims management skills, and experience handling indemnity claims independently in a dynamic, well-established third-party administrator environment.