ICA Training - Claims Adjusting – 1

This educational video covers Arizona claims adjusting, including new claim reporting, accept or deny notification process, and issuing notices to accept or deny claims. You may follow along in your 2018 Manual under Claims Adjusting Tab, pages 3-6

The Industrial Commission of Arizona provides the educational video to supplement the Worker’s Compensation Claims Seminar Manual for the Out of State Adjuster Authorization program. These instructions are not legal advice and should not be considered as such.

If you seek to become an Arizona Authorized Adjuster based upon Rule 20-5-130(B)(2), please visit our website https://www.azica.gov/out-state-adjus.... For further questions, please contact the ICA at 602 542 4661.

Timecodes
0:00 - Intro
1:15 - Claimant Responsibility
1:21 - ARS 23-908(E)
1:45 - Form 407/Legal filing
2:49 - Medical Provider Responsibility/Form 102
4:28 - Employer Process/ Form 101
4:58 - Employer Reporting a Fatality
5:24 - Employer Amputation/Catastrophic loss
5:47 - 101 Form
5:55 - ICA/Legal notification of a Claim
6:48 - 23-1061(m) Late response
7:26 - ICA Notification List
8:00 - Welcome Letter
8:47 - Combine Delete Change Notification
9:34 - How to Request a correction
10:11 - Change request late or denied
10:52 - Change delete combine form
11:12 - Late Change Request
11:34 - Notice of Claim Status-104
12:04 - Accepting Medical Only
12:40 - Terminating Benefits Medical Only
12:58 - Double Duty Notice MO
13:08 - Best Practice Alert
13:34 - Denying a Claim
13:59 - Using box #11 Denial
14:34 - Submitting Denial
15:06 - Denied then accepted
15:43 – Example of above
15:52 – MRO office
16:18 – Posters & Forms
16:45 - End