Special Fund Division

800 W. Washington St.

Phoenix, AZ  85007

Grade: 20

Closing Date:  Open Until filled

This position is responsible for performing work associated with processing workers' compensation benefits for the following Special Fund programs. No Insurance, Bankrupt Self-Insured, Pre-1973 supportive care, with emphasis on Vocational Rehabilitation and Apportionment claims.

This position is available for remote work on a full-time basis within Arizona (including virtual office arrangements).
OR
This position may be available for remote work within Arizona (# days per week in the office/hoteling).
OR
This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Will investigate, evaluate, and analyze Workers' Compensation insurance claims and/or no insurance claims and determine eligibility for vocational rehabilitation benefits, as well as review apportionment requests and reimburse apportionment annually; make benefits award determinations and negotiate claims settlements; capable of average monthly wage calculations, loss of earning award calculations, and lifetime award determination; determines fatal accident awards; provides assistance and technical advice to other employees involved in processing claims; coordinates claim litigation; reviews various claim reports and ensures that they are in accord with all applicable requirements; familiar with identification of subrogation potential; maintains electronic files, as well as completing claims coding and database information.

Attends staff meetings, shares information, and participates in problem solving, as well as performs related tasks as required.

Knowledge in:

● Arizona workers’ compensation statutes, rules of procedure, regulations, Court of Appeals decisions regarding workers’ compensation law.
● Workers' compensation claims processing procedures and best practices.
● Federal and State vocational rehabilitation laws.
● Medical, vocational rehabilitation and insurance terminology.
● Early return to work programs.
● Litigation management; automated claims management systems.
● Claims investigation methodology.
● Labor market conditions.

Skills in:

● Reach logical claims determinations and make recommendations and/or settlements.
● Investigate workers’ compensation claims and analyze facts relative to the claims.
● Negotiate claims settlement.

Ability to:

● Communicate verbally and in writing.
● Plan, organize and analyze claims and medical data.
● Interact with claimants, carriers, third party administrators, medical providers, attorneys, employers, claimant dependents and other interested parties.
● Utilizing File Handler, Salesforce, Microsoft Offices and Google suites.

5 years experience managing Arizona Indemnity claims.

If this position requires driving or the use of a vehicle as an essential function of the job, then the following requirements apply. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver’s license, complete all required training, and successfully pass all necessary driver’s license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to driver’s license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) R2-10-207.11).

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

The Arizona Department of Administration offers a comprehensive benefits package to include:
Sick leave
Vacation with 10 paid holidays per year
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
Health and dental insurance
Retirement plan
Life insurance and long-term disability insurance
Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

You will be eligible to participate in the state employee health/disability insurance plan, and you are required to participate in the Arizona State Retirement System (ASRS). ASRS participation may begin immediately or upon your 27th week of employment. Contributions are matched by the employer.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 542.5559. Requests should be made as early as possible to allow sufficient time to arrange the accommodation.