Claims Examiner I – Workers Compensation

This is a fully remote position, open to applicants in Arizona, +2 more states.

📋 Description

• Evaluate workers' compensation claims on behalf of clients to ascertain the benefits owed.

• Ensure the continual adjudication of claims aligns with service expectations, industry best practices, and client service needs.

• Conduct investigations and gather pertinent information to assess claim exposure.

• Manage claims through actionable plans to achieve timely resolutions.

• Negotiate claim settlements within the limits of designated authority.

• Communicate claim activities and processing updates to claimants and clients.

• Report claims to the excess carrier.

• Address requests for directions in a professional and timely manner.

⛳️ Requirements

• A minimum of 5 years of claims management experience or an equivalent combination of education and experience is required.

• A High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited college or university is preferred.

• Professional certification relevant to the line of business is preferred.

• Knowledge of CO, AZ, and UT licensing/jurisdiction is advantageous.

• Proficient keyboarding skills are required.

• Ability to hear, see, and communicate effectively.

• Strong clear and conceptual thinking abilities.

• Exceptional judgment and discretion are necessary.

• Capability to meet deadlines consistently.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to work in an agile environment.

• Career development and promotional growth opportunities.

• Medical, dental, and vision coverage.

• 401(k) plan with matching contributions.

• Paid Time Off (PTO).

• Disability and life insurance.

• Employee assistance program.

• Flexible spending account or health savings account.

• Additional voluntary benefits available.