[Hiring] Workers' Compensation Claims Representative @King'S Insurance Staffing

Role Description

Our client is seeking an experienced Workers’ Compensation Claims Representative to support claims throughout the Arizona region. This position is responsible for managing a diverse inventory of indemnity and medical only claims, including higher-exposure litigated files, from initial investigation through final resolution.

The ideal candidate will have strong technical Workers’ Compensation knowledge, experience handling complex claims with minimal oversight, and a solid understanding of Arizona Workers’ Compensation regulations and claims requirements. This individual should be comfortable communicating with injured workers, employers, medical providers, attorneys, and other parties throughout the claims process.

• Manage a caseload of Workers’ Compensation indemnity claims, including complex and litigated files.
• Complete thorough investigations to determine claim facts, coverage considerations, and compensability.
• Evaluate claims in accordance with applicable Workers’ Compensation statutes and jurisdictional requirements.
• Develop claim strategies and continually evaluate next steps to move files toward timely resolution.
• Coordinate medical treatment and review medical documentation and related expenses.
• Calculate and issue appropriate indemnity and claim-related payments.
• Establish and adjust reserves based on exposure, claim developments, and anticipated costs.

Qualifications

• 4+ years of Arizona Workers’ Compensation claims handling experience.
• Strong understanding of Workers’ Compensation regulations, claims practices, and medical terminology.
• Arizona Adjuster's License is preferred.
• Demonstrated ability to independently manage complex and higher-exposure claims.
• Strong investigative, analytical, negotiation, and decision-making abilities.
• Excellent written and verbal communication skills.
• Ability to effectively manage a high-volume caseload while maintaining strong file quality and organization.

Benefits

• $40.00 - $45.00/hour (depending on experience)
• Comprehensive medical, dental, and vision insurance while on assignment
• Flexible work schedule and ability to work remotely

Company Description