Senior Workers’ Compensation Claims Examiner

CIRSA has an opening for a Senior Workers’ Compensation Claims Examiner. CIRSA is a self-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 hybrid remote position that allows work from home, or the flexibility to work from our office located in Denver, Colorado. Occasional office presence is required.

Under the direction of the Workers’ Compensation Manager, this position is responsible for managing and evaluating complex workers’ compensation claims from start to finish. You’ll investigate incidents, input and maintain claim data, assess liability, determine benefits eligibility, identify opportunities for subrogation or offsets, report indemnity claims to the Division of Workers’ Compensation, and authorize treatment in accordance with WC regulations. This role involves frequent communication with member municipalities, medical providers, legal counsel, internal teams and the Division of Workers’ Compensation, and includes preparing legal documents and necessary state filings, attending hearings, and evaluating claims for settlement. You’ll also report high loss frequencies to CIRSA’s Risk Control Department to help reduce future workplace injuries and losses.

This position requires five years of progressively responsible workers’ compensation claims handling experience. A bachelor’s degree in a related field is preferred. You must have 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.

Why you want to work here:

At CIRSA, we recognize that our outstanding staff is the backbone of our organization. With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families. Current benefits include:

• Flexible work arrangements including work from home options
• 401(a) match of 10 percent
• 28.5 days of PTO & 13 paid holidays per year
• Medical, Dental, and Vision Insurance – high-deductible health plans for individuals and families/domestic partnerships
• Fully funded Health Savings Account
• Voluntary 457(b) Deferred Compensation Plan
• Cafeteria Plan for dental, vision, and dependent care
• Short- and Long-Term Disability
• Life Insurance and AD&D
• Tuition Reimbursement
• Employee Assistance Program
• Bereavement Leave

Position Hiring Range:

$84,059 – $105,047 DOQ

You’ll thrive in this position if you:

• Enjoy working with people, have a positive attitude, and can actively engage with CIRSA clients, staff, and vendors to develop relationships and build rapport.
• Are passionate about improving the CIRSA experience and demonstrate dedicated customer service techniques and principles.
• Are organized, results-driven, and detail-oriented and can put those skills into resolving our members workers’ compensation claims.
• Have excellent verbal and written communication skills and can effectively convey information.
• Enjoy providing exceptional customer service.
• Foster an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the organization.

What You Bring to CIRSA:

• Education: Bachelor’s degree preferred.
• Work Experience: Five years of progressively responsible workers’ compensation experience.
• Knowledge of Colorado’s Workers’ Compensation Act Rules of Procedure, and fee schedules; administrative and judicial decisions affecting workers’ compensation claims, and related case law, regulations and procedures.
• A valid Driver’s License is preferred.

About the Organization:

CIRSA is a municipal self-insurance pool dedicated to providing proactive risk management services and comprehensive property/liability and workers’ compensation coverages to Colorado cities and towns. Over 85% of Colorado’s municipalities make up CIRSA’s membership.

For more information on CIRSA, please visit www.cirsa.org.  No phone calls, please. CIRSA is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, national origin, ancestry, age, sex, disability, genetic information, sexual orientation, gender identity, gender expression, military status or any other status protected by law.