Workers Compensation Examiner - Arizona

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

Workers’ Compensation Claims Examiner III – Arizona

Location: Phoenix, AZ
Schedule: Full-Time | Hybrid
Salary: $75,000–$85,000 annually

Position Overview

We are seeking an experienced Workers’ Compensation Claims Examiner to join a well-established third-party administrator in Phoenix, Arizona. This position is responsible for managing Arizona workers’ compensation indemnity claims from inception through resolution, including complex and litigated files.

The ideal candidate will have strong knowledge of Arizona workers’ compensation regulations, excellent claims management skills, and experience handling indemnity claims independently.

Key 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.

Qualifications

• Minimum 5 years of workers’ compensation claims handling experience, or an equivalent combination of education and experience.
• Strong Arizona workers’ compensation 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, including cities, counties, or school districts, 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.

Benefits & Perks

• Medical, dental, and vision insurance
• Life insurance
• Short-term and long-term disability insurance
• 401(k) retirement plan
• Paid time off (PTO)
• Paid holidays
• Employee referral bonus program
• Hybrid work arrangement
• Opportunities for professional development and career growth

WORKING CONDITIONS:

• May on occasion be exposed to loud sounds and distracting noise levels, such as from office equipment.
• The ability to lift up to 30lbs
• Use of computers and technology

The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email [e-mail]