Workers’ Comp Claims Specialist – Return-to-Work

Goodwill of Central and Northern Arizona; Phoenix (AZ); On-site; USD 45,000 - 65,000; Full time

Job summary

Goodwill of Central and Northern Arizona is seeking a Workers’ Compensation Claims Administrator to support the organization’s insurance program. You will monitor and coordinate claims across operating units, medical providers and attorneys, while ensuring proper documentation and timely reporting of injuries.

In this role you will collaborate with Safety, HR and Legal teams to manage risk, administer the Return to Work program, and uphold compliance with state and federal regulations.

Qualifications

• High School Diploma or GED required; Bachelor's Degree preferred.
• 1-2 years of Workers' Compensation Claims Administration experience.
• Proficient in MS Office (Word, PowerPoint, Outlook, Excel) with the ability to perform audits, create spreadsheets and display data.
• Knowledge of Federal and State laws pertaining to Workers’ Compensation, Liability Statutes and OSHA reporting.
• Excellent written and verbal communication skills.
• Ability to speak and read English proficiently.
• Time management and organizational skills with the ability to manage multiple priorities.
• Skilled in preparing, reading, understanding and interpreting Claims Processing reports.
• Ability to pass a background check and drug screen, where applicable for position

Responsibilities

• Monitors and maintains cases related to new and existing claims.
• Reviews all work-related injuries and determines reportable vs. recordable; identifies days restricted and days away from work for reporting.
• Coordinates claims information submitted by operating units, law enforcement, medical providers, claimants, and attorneys.
• Uses independent discretion to monitor medical-only claims and flags severe injuries or high exposure for senior management/attorney review.
• Collaborates with Safety, Asset Protection, HR, and Legal leadership to resolve exposures.
• Maintains professional contact with injured team members and internal/external contacts.
• Builds relationships and collaborates on cross-functional teams.
• Assists in claims review, monthly reports and training for reporting requirements.
• Processes mail, scans and attaches to claims, and flags urgent mail to the appropriate handler.
• Administers the Return to Work program with HR Business Partners and supervisors; oversees modified duty offers.
• Files documents and develops or modifies filing practices; ensures compliance with local, state and federal regulations.
• Supports safety meetings with relevant materials and assists in policy/program development.
• Models Goodwill Core Values and provides training opportunities as needed.
• Performs other related duties as assigned.

Skills

Communication skills

English proficiency

Education

High School Diploma or GED

Bachelor's Degree preferred

Tools

MS Office

Job description

Goodwill of Central and Northern Arizona is seeking a Workers’ Compensation Claims Administrator to support the organization’s insurance program. You will monitor and coordinate claims across operating units, medical providers and attorneys, while ensuring proper documentation and timely reporting of injuries.

In this role you will collaborate with Safety, HR and Legal teams to manage risk, administer the Return to Work program, and uphold compliance with state and federal regulations.