Workers' Compensation Claims Administrator

Goodwill Industries International, Inc.; Phoenix (AZ); On-site; USD 54,000 - 66,000; Full time

Job summary

Goodwill of Central and Northern Arizona is seeking a Claims Administrator to support its commercial insurance program, including coordination of Workers’ Compensation claims and oversight of the Return to Work program.

The role involves reviewing injuries, coordinating with medical providers, attorneys, and internal teams, and preparing monthly reports while ensuring compliance with regulations and internal policies.

Qualifications

• High School Diploma or GED required; Bachelor’s Degree preferred.
• 1-2 years of 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
• 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

Responsibilities

• Monitors and maintains cases related to new and existing claims.
• Coordinates claims information submitted by operating units, law enforcement agencies, medical providers, claimants, and attorneys.
• Oversees the Return to Work program and modified duty offers.
• Prepares and reviews claims processing reports and trainings for reporting requirements.
• Ensures compliance with local, state, and federal regulations.
• Assists in establishing standards and procedures for insurance matters.
• Maintains professional contact with injured team members and external contacts.

Skills

MS Office (Word, PowerPoint, Outlook,?

Education

High School Diploma or GED

Bachelor’s Degree

Tools

MS Office

Job description

2626 W Beryl Ave Phoenix Arizona, 85021, Starting Pay :$60,000.00 Annual

Position 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 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

Benefits

• 5 Medical Plans
• Employer Funded Health Reimbursement Account (HRA)
• 3 Dental Plans
• 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!

Mission

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.

Core Values

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 are valued and encouraged. Join our team and gain opportunities for job growth at Goodwill and beyond.

Equal Opportunity Employer

Goodwill of Central and Northern Arizona is an equal opportunity employer. Qualified individuals seeking employment are considered without regard to race (including traits associated with race, e.g., hairstyles), color, religion, sex (including pregnancy and related conditions, sexual orientation, or gender identity), national origin, disability, military status, age, genetic information, or any other category protected by applicable federal, state and local fair employment practice laws. Individuals with a disability may be entitled to a reasonable accommodation under the Americans with Disabilities Act and/or state or local laws. Please contact Goodwill of Central and Northern Arizona at 1-833-624-0920 option 6 or [e-mail] if you need assistance or an accommodation due to a disability as defined by the Americans with Disabilities Act.

For questions about your application or employment with Goodwill of Central and Northern Arizona, please contact our Candidate Support Line at 1-833-624-0920, option 5.