Top 35 Injury claims adjuster Jobs in Phoenix Az

Medical Case Manager
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $80,000 - $91,000 a year
- Full-time
- 5 years
- Mid-level
- Children
- Health insurance
- Dental insurance
Commercial Claims Adjuster - Remote
WAHVE —Phoenix, AZ
- Part-time
- Remote
- Senior level
- Commercial
- Health insurance
- 401(k)
Claim Examiner Associate - Scottsdale
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $28.50 an hour
- Full-time
- Office
- 3 years
- Analysis skills
- Paid training
- Wellness program
ESIS Claims Team Leader, WC
Chubb —Phoenix, AZ
- $86,000 - $124,000 a year
- Full-time
- 5 years
- Office
- Bachelor's degree
Casualty Claim Examiner
Chubb —Phoenix, AZ
- $53,000 - $77,000 a year
- Mid-level
- Office
- Bachelor's degree
- Employee stock purchase plan
- Paid holidays
Injury Adjuster
AlphaStaffHCM —Phoenix, AZ
- Weekends as needed
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Workers' Compensation Injury Counselor
U-Haul —Phoenix, AZ
- Full-time
- Research
- Mid-level
- Mentoring
- Wellness program
- Paid parental leave
Claim Examiner
IFG Companies —Scottsdale, AZ
- $80,000 - $100,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Quick Apply
Personal Injury Case Manager
Pathway Law Firm —Tempe, AZ
- $32 - $40 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10d
Senior Claims Examiner
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $87,600 - $112,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- 5 years
- Research
- Health insurance
- Dental insurance
Claims Examiner 4
Swift Transportation —Phoenix, AZ
- $75,000 - $94,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Senior level
- Paid training
- Employee stock purchase plan
Quick Apply
Commercial Casualty Litigation Adjuster - Remote
CSAA Insurance Services, Inc. —Phoenix, AZ
- $80,865 - $107,900 a year
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- 3 years
- 401(k) matching
7d
PI Pre-Lit Paralegal - $65,000 Salary + Bonuses
Auto Pros Collision Center —Phoenix, AZ
- $65,000 a year
- Full-time
- Spanish
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Property Damage Legal Assistant
Cook Law Office, PLLC —Tempe, AZ
- From $20 an hour
- Full-time
- Writing skills
- Research
- Administrative experience
- Free parking
- Health insurance
Quick Apply
4h
PIP Adjuster
Aegis Security Insurance Company —Phoenix, AZ
- $50,000 - $65,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Risk Manager
RumbleOn —Chandler, AZ
- Weekends as needed
- 5 years
- Office
- Continuous improvement
Quick Apply
10d
Complex Claims Director, Excess Claims
AIG Claims, Inc. —Scottsdale, AZ
- $112,000 - $138,500 a year
- Email
- Hybrid work
- Office
- Senior level
- Communication skills
- Health insurance
Quick Apply
Senior Claim Technical Specialist
IFG Companies —Scottsdale, AZ
- $110,000 - $120,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Quick Apply
Customer Service Representative
Cook Law Office, PLLC —Tempe, AZ
- From $20 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Research
- Health insurance
- 401(k)
Quick Apply
3h
Senior Managing Biomechanist (Accident Reconstruction)
YA Group —Phoenix, AZ
- Full-time
- Remote
- Sales
- Analysis skills
- Doctor of Philosophy
- Paid holidays
- Health insurance

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injury claims adjuster jobs near phoenix az

Medical Case Manager

AmTrust Financial Services, Inc. -
Scottsdale, AZ

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Job Details

Full-time
$80,000 - $91,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Opportunities for advancement
Life insurance

Qualifications

5 years
Mid-level
Organizational skills
Leadership
Communication skills

Full Job Description

Overview:

AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.

PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.

This position is hybrid out of Scottsdale, AZ or remote in Arizona.

Responsibilities:

Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered.
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.
Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary
Responsible for accurate comprehensive documentation of case management activities in case management system.
Uses clinical/nursing skills to help coordinate the individual’s treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee’s functional assessment.
Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.
Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place
Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.
Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome
Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).
Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves
Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
May assist in training/orientation of new staff as requested
Other duties may be assigned.
Supports the organization's quality program(s).

Qualifications:

Education & Licensing

Active unrestricted RN license in Arizona or Utah.
Active unrestricted RN license in California.
Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
Preferred for license(s) to be obtained within three - six months of starting the job.
Written and verbal fluency in Spanish and English preferred

Experience

Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.

Skills & Knowledge:

Knowledge of workers' compensation laws and regulations
Knowledge of case management practice
Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
Knowledge of behavioral health
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Analytic and interpretive skills
Strong organizational skills
Excellent interpersonal and negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking

The expected salary range for this role is $80,000.00-$91,000.00.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

What We Offer:

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Apply Now

Refine Your Search

injury claims adjuster jobs in phoenix az

Medical Case Manager

Commercial Claims Adjuster - Remote

Claim Examiner Associate - Scottsdale

ESIS Claims Team Leader, WC

Casualty Claim Examiner

Injury Adjuster

Workers' Compensation Injury Counselor

Claim Examiner

Personal Injury Case Manager

Senior Claims Examiner

Claims Examiner 4

Commercial Casualty Litigation Adjuster - Remote

PI Pre-Lit Paralegal - $65,000 Salary + Bonuses

Property Damage Legal Assistant

PIP Adjuster

Risk Manager

Complex Claims Director, Excess Claims

Senior Claim Technical Specialist

Customer Service Representative

Senior Managing Biomechanist (Accident Reconstruction)

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