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Position Description: • Considerable knowledge of insurance industry and medical terminology, ability to understand, investigate, negotiate, settle, analyze and evaluate information from engineers, architects, contractors, accountants, CPAs, physicians, etc. • Ability to interpret and apply Federal and State statutes, rules and policies and procedures of state and local government court systems and the legal rules of civil procedures in both Federal and State lawsuits.
Skills Required: • Skill in customer service and interpersonal relations as applied to contracts with other agency staff, representatives of other governmental agencies, carriers, medical providers, claimant`s dependents, employers, attorneys and the public. • Skill in negotiating claim settlements with claimants, attorneys and/or third parties. Skill in written and oral communication. • Skill in electronic communications including claim evaluation reports. Skill in planning, organizing, interpreting and analyzing complex legal, medical, economic, accident reconstruction and contractual situations to reach logical conclusions and reasonable recommendations. • Knowledge of labor market conditions. • Knowledge of government structure and functions. • Knowledge of insurance industry and medical terminology. • Valid state issued drivers license. • Knowledge of federal/state statutes, practices and agency standards, policies and procedures applicable to insurance workers` compensation, contracts, Court of Appeal rulings and legal practices. • Knowledge of civil procedure in both federal, state, and local courts. • Knowledge and understanding of insurance contracts and related law. • Knowledge of workers` compensation claims management practices, early return-to-work programs, EDP claims management system, claims investigation methods, and litigation management. • Ability to process subrogation.
Experience Required: •Principles, practices and techniques relating to public entity, liability and workers compensation insurance in the State of Arizona. •Contracts and certificates of insurance. •Accounting and purchasing practices including accounts relievable, accounts payable•Modern office practice and procedure.• Microsoft Office products and other relevant technologies. •Standard record maintenance processes. •Workers' compensation or liability and property claims procedures. Ability to: •Deliver timely customer service in a professional manner within a fast paced work environment. •Manage a substantial workload and maintain a high level of productivity despite competing priorities. •Multi-task in a fast moving environment with constant interruptions. •Record and track data effectively in an electronic format. •Follow oral and written instructions and exercise independence and judgment in applying and following established procedures. •Perform a variety of accounting and mathematical functions accurately. •Maintain moderately complex clerical records and complete the complex process of claim set up timely and correctly. •Communicate effectively, both orally and in writing. •Maintain effective working relationships with customers, employees, management, and the public. •Operate a personal computer and related software such as word processing, spreadsheets, desktop publishing, claims management and website management. •Explain policies and procedures. •Resolve routine questions and problems independently. •Act as a back up to create workers compensation claims when needed. •Act as primary contact for walk in or telephone customer contacts. •Act as a customer liaison for the department to facilitate customer service requests. •Perform other duties as assigned.
Education Required: see above
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