The Capital Region ESD 113 is seeking a Senior Claims Adjudicator. The Senior Claims Adjudicator position is responsible for evaluating eligibility and processing workers' compensation claims in full compliance with WCT and state regulations. This role involves comprehensive documentation of all actions taken, effectively communicating with stakeholders regarding claims and benefits, and providing testimony as required in benefit disputes. This position requires a valid Washington State Self-Insurance Certification at the time of hire and offers a 260-day work year (8 hours/day, Monday-Friday schedule, Hybrid work schedule). The comprehensive benefits package includes medical, vision, and dental insurance, FSA/DCAP options, life/AD&D insurance, LTD insurance, Employee Assistance Program, retirement benefits, deferred compensation plan, and annual, sick, holiday, and personal leave.

Some of what you'll be doing:

As a Manager, Workers’ Compensation, you will oversee all aspects of the Port's Self-Insured and Self-Administered Workers’ Compensation program and ensure program compliance with the rules and regulations under Title 51 of the Industrial Insurance Laws in the State of Washington. You will act as the System Administrator of the Origami claims management system.

• You will provide daily management, program oversight, and confidentiality to the processing and adjudication of claims and legal documents associated with claims.
• You will participate in settlement negotiations, recommend loss control strategies, and instruct Port personnel on workers’ compensation issues. 
• You will develop, recommend, and implement workers compensation policies and procedures, including setting targets for milestones, ensuring adherence to deadlines, and implementing cost-effective practices.
• You will participate in and support auditing activities by providing claim records and material as requested by external regulators such as the Washington State Department of Labor and Industries, Washington State Insurance Commission, and internal auditing personnel. 
• You will ensure the claims record management system interfaces with multiple internal and external systems to provide accurate record reporting and billing services. 
• You will provide claim and injury reporting to internal departments to assist executives, supervisors, human resources, and labor in risk mitigation strategies. You will also partner with the Health & Safety Program Managers to review and analyze specific exposures and assist with recommending injury prevention strategies.
• You will provide customer service by communicating with injured workers, vocational counselors, nurse case managers, physicians, insurance companies, private investigators, employee relations, labor unions, regulators, and internal and external legal counsel. 
• You will supervise, train, and collaborate with the Workers’ Compensation Claims Administrator and Workers' Compensation Administrative Assistant. 
• You will develop, conduct, evaluate, and document workers compensation curriculum and training to support workforce comprehension and compliance as required by state and federal regulations.