Pediatric nurse

This position of the Workers Compensation is responsible for auditing claims documents for compliance with applicable workers compensation claims management laws, statutes, and case This position will audit insurance carriers, self-insured employers and third-party administrators adjusting workers compensation claims; reviews all notices, attached medical and/or documentation to verify it supports current change of status and/or calculation of Average Monthly This job involves moderate amount of customer contact and repetitive review of recommended average monthly wage forms, performing review of calculations using internal software and tools to assist and approving/denying the After analysis, the Specialist will issue correct corresponding award, notification, or document; answer incoming phone calls from injured workers, attorneys, interested parties, claim adjusters, medical providers, and Additionally, this position will be responsible for matching documents lacking information to existing Commission claims files by researching information in Claims database and for creating a new claim file for documents received when there is no existing claim file; provide backup assistance to compliance, data entry, error resolution, no match or combine/delete as requested; participates in Arizona Management System (AMS) and daily Huddle board; attend staff meetings, seminars, conferences, training classes as

Skills Required

Knowledge of:

• Basic knowledge or ability to learn applicable workers compensation claims management laws, statutes, case
  
• Basic Medical
  
• Microsoft Office Suite; Outlook, Word,
  
• Basic English and Basic Mathematics
  
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Skill in:

• Effectively able to communicate verbally and in writing to resolve disputes with interested
  
• Basic analysis of insurance, medical and legal
  
• Review and interpret Arizona Workers Compensation laws, rules, procedures, and court decisions
  
• Strong critical thinking skills and Time Management
  
• Initiative and attention to detail
  
• Strong focus on customer service
  
• Strong organizational and planning skills
  
• Responsible for high quality, nearly error-free output
  
• Basic organizational, analytical
  
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Ability to:

• Manage heavy workload with high level of accuracy and
  
• Learn computer systems and
  
• Work well within a diverse and inclusive office
  
• Timely process documents within established productivity standard and prioritizes work within established time
  
• Manage time effectively and meet ;
  
• Adapt to changing
  
• Demonstrate initiative and attention to
  
• Exercise discretion and
  
• Works well under
  
• Ability to perform job responsibilities incorporating lean management and principles of the Arizona Management
  
• Effectively train internal and external customers in small and large group
  

Experience Required

High School diploma, 5+ years of customer service experience and/or workers compensation