Workers’ Claims Examiner – Colorado Intergovernmental Risk Sharing Agency

Overview

Colorado Intergovernmental Risk Sharing Agency (CIRSA), based in Denver, Colorado, has an opening for a Workers’ Compensation Claims Examiner
. CIRSA is an insurance pool that specializes in providing property/liability and workers’ compensation coverages and services for municipalities and affiliated public entities across the state.

CIRSA is a forward-thinking employer that values a strong work/life balance. To this end, this is a flex position that allows work from home with occasional office presence.

• Under the direction of the Claims Manager, the position is responsible for reviewing and processing new and existing workers’ compensation claims.
• Inputting and maintaining claim data; conducting investigations on claims to obtain information for processing and compensability evaluation.
• Documenting claims with medical, legal or subrogation claims; reporting indemnity claims to the Division of Workers’ Compensation.
• Identifying subrogation and claimants eligible for Medicare, SSDI (Social Security Disability Income), pension, FPPA (Fire Police Pension Act), unemployment and other offsets.
• Authorizing or denying medical treatment, therapy, surgeries, supplies and other procedures.
• Communicating with medical providers regarding claims and case management.
• Monitoring legal aspects of claims, including attending hearings, preparing and filing legal documents, evaluating claims for settlement, and working with legal counsel on claims for which defense counsel is assigned.
• Acting as a liaison with member municipalities and reporting workplace hazards or high loss frequencies to Risk Control Department.

• 2+ years of progressively responsible workers’ compensation claims handling experience.
• A bachelor’s degree in a related field is preferred.
• Knowledge of Colorado Workers’ Compensation Act, Colorado Workers’ Compensation Rules of Procedure, Colorado Workers’ Compensation fee schedules, Colorado administrative and judicial decisions affecting workers’ compensation claims, and related regulations and procedures.

For further details and information on how to apply, view the full job description.