Job Description

Job Description

Job Description

THIS ROLE IS ONLY FOR CURRENT ARIZONA RESIDENTS

Closing Date & Time: 10/30/2025@ 3 PM

4+ Years of Claims Experience (Indemnity Experience)

License - Arizona Adjustments License
Proficient in Google Suite

Description

• Investigate, evaluate, analyze, and determine compensability of time loss and catastrophic claims. 
• Calculate average monthly wage and set reserves. 
• Compute and authorize indemnity and medical benefits; update claims system; negotiate settlements, and notify the respective agency loss prevention coordinator of risks.
• Monitor changes to diagnosis to verify ICD codes are current for Medicare purposes.
• Coordinate activities of nurse case managers, attorney and/or subrogation specialists, and with other RMD sections as appropriate. 
• Identify the need for and coordinate Independent Medical Examinations (IMEs)
• Communicate with agency personnel and injured employees, conduct claims management training and claim review,as needed. 
• Exercise independent judgment on complex claims and functions as directed.
• Proper management of litigation working with Attorney General's Office or outside counsel, experts, and plaintiff counsel.
• Oversee performance of contracted vendors and experts to assist in claim management, such as labor market consultants, nurse case managers, investigators, and IME coordination services.

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