Workers' Comp Claims Specialist

Consolidated Personnel Services

Workers' Comp Claims Specialist

Phoenix, AZ
Full Time
Paid
  • Responsibilities

    Location: Phoenix, AZ

    Job Type: Full-Time

    Salary: $30 - $35 / Hour

    Benefits: Health, Dental, Vision, employer matching 401(k), life, STD, LTD, GTL, etc.

    Overview: Are you looking for a change? Would you like to use your AZ Workers' Compensation (Work Comp) claim experience in a new role, working for a company that values your expertise? If you’re eager to contribute to the efficient processing of insurance claims while ensuring compliance with industry standards, we encourage you to apply.

    As a Claims Specialist , you will be responsible for investigating, reporting, and overseeing Workers' Compensation claims for our clients. Your work will ensure accuracy and compliance with Work Comp laws and benefits, requiring a strong understanding of WC laws, attention to detail, excellent customer service, and solid data entry skills.

    Key Responsibilities:

    • Communicate with clients, injured workers, medical providers, and carriers/TPAs to ensure smooth claims processing.
    • Complete new claim investigations, gathering verbal statements from employees and witnesses as needed.
    • Promptly prepare and submit the 101 form to the appropriate insurance carrier, providing relevant information from the employer's investigation.
    • Address concerns and request further investigation for compensability when necessary.
    • Notify payroll/benefits teams of lost-time claims and provide pre-injury wage information to the carrier as required.
    • Determine if modified work is available for injured employees.
    • Maintain a diary system to review and oversee existing claims, ensuring that benefits are paid timely and appropriately.
    • Update clients as needed and assist the Workers' Compensation Claims Manager with projects and the overall oversight of WC claims.
    • Perform other duties as designated by the WC Claims Manager.

    Requirements:

    • Minimum of 2-5 years of AZ lost-time adjusting experience; multi-state experience is a plus.
    • Strong communication skills, both verbal and written.
    • Ability to speak Spanish is a plus.
    • Degree preferred but can be waived based on relevant experience.
    • Proficient in Outlook, Word, and Excel.
    • Strong understanding of medical terminology and WC claims processes.
    • Detail-oriented with excellent time management and data entry skills.
    • Ability to effectively interact with insurance companies, their adjusters, clients, and injured employees.

    Why Consolidated Personnel Services?

    • Competitive salary and benefits package.
    • Collaborative and supportive team environment.
    • Opportunities for professional growth and development.
    • Work-life balance with flexible scheduling options.

    How to Apply: If you're looking for an opportunity to contribute to the efficient processing of workers' compensation claims while ensuring compliance with industry standards, we encourage you to apply today!

    Consolidated Personnel Services, Inc. is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.