City of Mesa (AZ)

Workers' Compensation Representative

Mesa, AZ, US

Onsite
Full-time
3 days ago
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Summary

First review of applications will be on Monday, May 19, 2025. A Workers' Compensation Representative is responsible for all aspects of claims management required by state statutes and the City of Mesa's self-insured, self-administrative programs.  The position's functions include:  adjudicating workers' compensation claims including, but not limited to determining compensability; authorizing or denying medical treatment; handling litigation; establishing Loss of Earning Capacity (LEC); assigning rehabilitation nurses and utilizing private investigators and vocational specialists; and filing notices with the Industrial Commission of Arizona (ICA).  This position is responsible for calculating workers' compensation indemnity such as Temporary Total Disability (TTD) or Temporary Partial Disability (TPD), and permanent awards such as Permanent Total Disability (PTD) or Permanent Partial Disability (PPD); approving medical bills for payment; and reporting expenditures through reports to administration and excess workers' compensation carriers.   This class assists injured workers, physicians, and other interested parties; explains workers' compensation regulations and related City of Mesa policies and procedures; and resolves a variety of problems.  This class works independently in the management and direction of simple to the most complex workers' compensation claims and makes difficult decisions concerning medical and workers' compensation benefits.  This class is supervised by the Safety Administrator through meetings, reports, conferences, and overall results achieved.  This class is FLSA exempt - Administrative. Please refer to the link below for the full job description and additional information regarding assignments, preferred qualifications, and essential functions. Employee Values:  All employees of the City of Mesa are expected to uphold and exhibit the City's shared employee values of Knowledge, Respect, and Integrity. Minimum Qualifications Required.  Any combination of training, education, and experience equivalent to graduation from an accredited college or university with an Associate's degree.  Considerable (3 - 5 years) experience in workers' compensation claims processing/adjudication as a workers' compensation representative/adjuster.  Good (1 - 3 years) experience working with Arizona Workers' Compensation statutes, and state and federal regulations pertaining to workers' compensation claims handling. http://apps.mesaaz.gov/jobdescriptions/Documents/JobDescriptions/cs3911.pdf

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