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INDUSTRIAL COMMISSION
Are you ready to work for an exceptional state agency that works to protect the life, health, safety, and welfare of the employees in the State of Arizona? Apply with us! The Industrial Commission of Arizona (ICA) is committed to the highest standards of compliance, demonstrating leadership in all areas, and teaching and working with employers and employees to make them successful.

A thriving workforce in Arizona is what we strive for and work towards each day.
Workers Compensation Claims Adjuster 2

Job Location:

Address:
Claims Division
800 W. Washington Street, Phoenix, AZ

Posting Details:

Salary: $65,000.00 - $70,000.00
Grade: 20
Closing Date:
June 30, 2026

Job Summary:

Position Overview:

This role combines high-level claims investigation and statutory oversight, focusing on complex determinations and the regulatory enforcement of bad faith and unfair claims processing pursuant to ARS 23-930. AAC R20-5-163.

The W/C Claims Adjuster 2 investigates, evaluates, and analyzes complex Workers' Compensation situations. This position serves as the primary lead for the Claims Division Bad Faith/Unfair Claims Processing Program, managing internal and externally filed complaints and handling the escalated process to completion. Responsibilities include issuing good faith and unfair claims processing practices awards, conducting complex audits and oversight and contributing to the divisional training programs.

The role requires deep knowledge of the Arizona Workers' Compensation Act and modern claims handling best practices to ensure industry compliance and provide technical guidance.

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.

Job Duties:

Essential Duties and Responsibilities include but are not limited to:

• Bad Faith & Unfair Claims Processing Practices:
Identify, review, and process all requests for 1061M, internal and external complaints regarding bad faith or unfair claims practices. Manage the escalated dispute process to completion, conduct audits, analyze trends, and compile data into formal reports for leadership.

• Carrier Monitoring:
Track payer claim status using Salesforce and other reporting software, make lifetime award determinations, and calculate average monthly wages or loss of earning awards. Enforce compliance efforts.

• Audit & Compliance:
Conduct Audits and complex research to proactively identify compliance issues. Make recommendations based on that research and develop internal and external programs to increase quality and compliance with existing Arizona WC laws, rules and statutes.

• Training, Technical Guidance & Problem Solving:
Provide training to internal & external customers, technical advice, guidance, and troubleshooting support to peers and internal teams regarding complex claim issues.

• Support Annual Claims Seminar including updating the Claims Manual, creating and presenting dynamic presentation to community members.

• Provide back-up assistance to awards, compliance, customer service, wage, data entry, no match or insurance, as requested.

Knowledge, Skills & Abilities (KSAs):

Knowledge of

• Comprehensive knowledge of Title 23, Chapter 6 of the ARS (Arizona Workers Compensation Act).

• The Industrial Commission of Arizona Claims Division Operations.

• Claims adjusting practices.

• Excellent Knowledge of Microsoft Office, required. Google Suite and Salesforce, a plus.

• Basic business english and mathematics.

• Knowledge of using Internet based searching to conduct research.

Skill in:

• Strong writing skills.

• Effectively able to communicate verbally and in writing.

• Strong reasoning and analytical skills.

• Strong critical…