Workers' Compensation Claims Administrator

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

Supports the commercial insurance program for Goodwill of Central and Northern Arizona (GCNA) and its affiliated entities, including support for all claims and specializing in claims coordination for Workers’ Compensation. Reviews and coordinates Workers Compensation claims and supports activities for occupational health. Has oversight of the Return to Work program and coordinates communications with the Legal department.

Essential Duties and Responsibilities:

• Monitors and maintains cases related to new and existing claims.
• While collaborating with Safety, reviews all work-related injuries as reported by management or Team Member and determines reportable vs. recordable injury as well as identifying days restricted and days away from work for workers’ compensation reporting.
• Responsible for coordinating claims information submitted by operating units, law enforcement agencies, medical providers, claimants, and attorneys.
• Uses independent discretion and decision making to monitor workers’ compensation medical only claims and ensure all proper documentation. Identifies claims with severe injuries, lost time of potential exposure above $5,000 to Senior Management and/or in-house Attorney.
• Proactively identifies risks and provides proper escalation for high-level resolution. Partners with Safety, Asset Protection, HR, and Legal leadership to elevate problem resolution to ensure a holistic and streamlined approach for each potential exposure.
• Maintains proper contact in a professional manner with injured Team Members, and internal and external contacts such as managers, medical providers, etc.
• Builds relationships internally and collaborates effectively on cross-functional teams.
• Reviews, investigates when necessary and reports claims to insurance carriers for all lines of coverage with all pertinent information, documents, photos, videos, etc.
• Assists with claims review, monthly reports and training for reporting requirements.
• Processes mail, handles scanning and attaching to appropriate claims. Identifies mail that requires immediate attention to the appropriate handler.
• Administers the Return to Work program, collaborates with the HR Business Partner(s), and supervisors in the placement of Team Members into modified duty work assignments. Oversees modified duty job offer letters to injured Team Members for management and carrier documentation.
• Files documents and develops or modifies filing practices, as needed.
• Assists in ensuring compliance with all local, state and federal regulations and requirements at all times.
• Supports safety meetings and provides appropriate supporting workers compensation claim related materials to all necessary parties in a timely manner, as requested/needed.
• Develops, reviews and implements new policies, programs, processes and procedures, as needed.
• Models Goodwill Core Values – Trust, Collaboration, Engagement, Ownership, and Innovation.
• May provide support to Asset Protection & Safety, as needed.
• Assists in establishing standards and procedures for all matters relating to insurance.
• Identifies internal training opportunities. Supports the development and delivery of specific training related to identified needs.
• Performs other related duties, as assigned.

Minimum Qualifications (Education, Experience, Skills):

• High School Diploma or GED required, Bachelor’s Degree preferred
• 1-2 years of Workers' Compensation Claims Administration experience
• Proficient in MS Office skills including Word, Power Point, Outlook and 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
• Must possess awareness of Human Resources policies and procedures
• Excellent written and verbal communication skills
• Ability to speak and read English proficiently
• Time management and organizational skills as well as the ability to manage multiple priorities with accuracy and efficiency
• Skilled in preparing, reading, understanding and interpreting Claims Processing reports
• Ability to pass a background check and drug screen, where applicable for position

You will be eligible for a comprehensive Total Rewards package, 1st of the month following 60 days of employment that includes the following:

• 5 Medical Plans
• Employer Funded Health Reimbursement Account (HRA)
• Vision Plan
• 401K
• Employer Paid Life Insurance
• Employee Assistance Program (EAP)
• Paid Time Off; Sick and Vacation
• Paid Holidays
• These are just a few highlights of our key benefit offerings!

Become a valued member of an organization where good work meets community impact. Our mission is: Empowering Individuals, Strengthening Families, and Building Stronger Communities. Goodwill provides no-cost career development, training, and education services to help individuals build a better life for themselves and their families. Our core values are Trust, Collaboration, Engagement, Ownership, and Innovation. Everything we accomplish as a team is centered around these core values. Together, we create an inclusive and welcoming environment for each other. With stores conveniently located near you, you can work for a company where team strength and success is valued and encouraged. Join our team and gain opportunities for job growth at Goodwill and beyond.