Arizona Work Comp Insurance Adjuster (Hybrid, ICA Required)

Ccmsi • Scottsdale, AZ

2d • Hybrid

About The Position

CCMSI is seeking an experienced Arizona Workers’ Compensation Claim Consultant to manage a complex portfolio of claims in a third-party administrator environment. This is a full life-cycle workers’ compensation adjuster role requiring proven claims experience. The consultant conducts investigations, guides claim strategy, and works toward fair and timely resolutions while providing responsive service to clients and supporting injured workers. The position handles more complex claims with minimal supervision and offers a development pathway toward more senior claim positions. The role is based in Phoenix, Arizona, with a hybrid arrangement and a schedule of 8:00 a.m. to 4:30 p.m. MST.

Requirements

• At least 5 years of Arizona Workers’ Compensation claims experience.
• ICA authorization.
• Strong communication, investigation, and negotiation skills.
• Ability to manage a caseload from inception to closure and prioritize competing deadlines.
• Detail-oriented, organized, and self-motivated.
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook.

Nice To Haves

• Bachelor’s degree.
• Spanish proficiency; valued for communicating with claimants, employers, or vendors but not required.

Responsibilities

• Investigate, evaluate, and adjust claims in accordance with claim-handling standards and applicable laws.
• Establish reserves or provide reserve recommendations within established authority levels.
• Review, approve, or oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether they are reasonable and claim-related.
• Negotiate disputed bills or invoices for resolution.
• Authorize and make claim payments in accordance with procedures, industry standards, and payment authority.
• Negotiate settlements in accordance with corporate standards, client-specific instructions, and state laws when appropriate.
• Assist with selecting, referring, and supervising outside vendors, including legal, surveillance, and case-management providers.
• Assess and monitor subrogation claims through resolution.
• Review and maintain a personal diary in the claim system.
• Support client satisfaction.
• Prepare reports on claim status, payments, and reserves as requested.
• Compute disability rates in accordance with state laws.
• Coordinate timely communication with clients, claimants, and other appropriate parties throughout the claim adjustment process.
• Prepare newsletter articles as requested.
• Provide notices of qualifying claims to excess or reinsurance carriers.
• Handle complex claims with minimal supervision.
• Conduct claim reviews or training sessions for designated clients as requested.
• Attend and participate in hearings, mediations, and informal legal conferences as appropriate.
• Comply with corporate claim-handling standards and special client instructions.

Benefits

• Four weeks of paid time off, accruing throughout the year in accordance with company policy.
• Ten paid holidays in the first year.
• Medical, dental, vision, life, and disability insurance.
• 401(k) retirement plan.
• Employee Stock Ownership Plan (ESOP).
• Internal training and advancement opportunities.
• Supportive, team-based work environment.
• The role may qualify for bonuses or additional forms of pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed