Employment Exchange

WSIA provides open employment listings as a service to members. There is a $25 fee to post a position on the Employment Exchange, and ads will be posted for 30 days unless directed otherwise. Ad content supplied by hiring employers. For more information or to post a job, email Kari Heinold or call (360) 754-6416.


Alaska Self Insured Claims Lead, Indemnity & MO Examiner - Penser NA

Penser North America’s Self Insured Workers Compensation team, has an opening for a Claims Lead, Indemnity Examiner, and MO Examiner to handle Alaska Self Insured claims . This is a non-union, salaried, administrative, full time position for self-insured Workers compensation claims handling at this Third Party Administrator.

CLAIMS LEAD/SUPERVISOR QUALIFICATIONS:
• 5 years Workers Compensation claims experience adjusting Alaska Workers’ Compensation
• Working knowledge of applicable Alaska workers Comp laws, rules and regulations.
• Strong investigative, decision making and problem solving abilities.
• Excellent oral and written communications skills.
• Superior analytical and negotiation skills.
• Computer proficiency with basic claims system and Microsoft Office.
• Detail oriented, organized individual with the ability to work in team environment
• Ability to multi-task, meet tight deadline and shift priority workloads
• High degree of integrity and confidentiality required
• Must be self-motivated, detail oriented and able to maintain current diaries

• Experience handling Alaska Workers’ Compensation Board hearings (AWCB)
• Ability to set and adjust reserves, monitor and manage third party claims, and vocational rehabilitation claims


INDEMNITY ADJUSTER QUALIFICATIONS:
3 years Workers Compensation claims experience adjusting Alaska Workers’ comp claims
• Working knowledge of applicable Alaska workers Comp laws, rules and regulations.
• Strong investigative, decision making and problem solving abilities.
• Excellent oral and written communications skills.
• Computer proficiency with basic claims system and Microsoft Office.

   Detail oriented, organized individual with the ability to work in team environment
• Ability to multi-task, meet tight deadline and shift priority workloads
• High degree of integrity and confidentiality required
• Must be self-motivated, detail oriented and able to maintain current diaries

 

MO ADJUSTER QUALIFICATIONS:
2 years Workers Compensation claims experience adjusting Alaska Workers’ comp claims
• Working knowledge of applicable Alaska workers Comp laws, rules and regulations.
• Strong investigative, decision making and problem solving abilities.
• Excellent oral and written communications skills.
• Computer proficiency with basic claims system and Microsoft Office.

   Detail oriented, organized individual with the ability to work in team environment
• Ability to multi-task, meet tight deadline and shift priority workloads
• High degree of integrity and confidentiality required
• Must be self-motivated, detail oriented and able to maintain current diaries

 


SALARY: Salary will be commensurate with experience qualifications.


Senior Claims Representative (State Fund Retrospective Rating) - Archbright

The Claims Representative’s duties require them to compare and evaluate possible courses of conduct and act or make decisions in order to investigate, analyze, and determine insurance liability concerning worker’s compensation injury claims and provide expert advice regarding the resolution of claims to Archbright members, free from the immediate direction or supervision from their supervisor, the Director of Claims Services.  The Claims Representative’s primary duties do not include clerical or secretarial work, recording or tabulating data, or performing other mechanical, repetitive or recurrent or routine work.

Essential Duties and Responsibilities:

  • Investigate, analyze, and determine insurance liability concerning worker’s compensation injury claims in accordance with state law.
  • Correspond with or interview medical specialists, employers, witnesses, claimants, state adjudicators, vocational counselors and investigators to compile information and documentation.
  • Calculate and verify benefit payments for accuracy and eligibility
  • Coordinate modified return-to-work plans for temporarily disabled claimants: Identify light duty job tasks based on the extent and type of disability.
  • Compose detailed job descriptions based on verbal and written communication with the employer.
  • Communicate and correspond with medical providers and staff.
  • Advise the employer of appropriate implementation and management of formal job offers and return-to-work programs in accordance with state and federal regulations.
  • Continually audit claims to verify payments and awards have been made in accordance with state law and that all relevant and proper medical documentation is contained in the state insurance file.
  • Identify, and apply for, wage reimbursement opportunities on behalf of employers.
  • Identify overpayments, underpayments, fraud and other inaccuracies and the filing of formal protests.
  • Identify and refer appropriate cases to a supervisor for claims requiring a higher level of intervention, legal review and/or litigation preparation.
  • Utilize on-line access to state claim files. Utilize and maintain paper and electronic document files containing confidential and privileged information. Utilize claims management software for independent report generation and analysis for caseload management.
  • Provide general oversight, instruction, and mentoring of claims assistants.

Self-Insured Claims Manager (Part Time) - Comprehensive Risk Management, Inc.

CRM is seeking a post-entry level (minimum two years) Washington self-insurance claim manager for a part time, approximately 27 hours/week, position.  The schedule can be flexible to meet your needs.  Compensation, DOE.  We will continue with your self-insurance training and you will have an opportunity to provide back up and support for our current self-insurance staff.  If you live on the north end and want to avoid commuting to Seattle, Tacoma or Olympia, this could be the position for you.


Return to Work Coordinator - Swedish Medical Center

Swedish Medical Center is looking for a Return to Work Coordinator (1.0 FTE, Day Shift) to work in the Injury Management Program department at Swedish First Hill in Seattle, WA.

The Return to Work Coordinator monitors reported workplace accidents and coordinates medical care and return-to-work processes light duty and ergonomics evaluations designed to reduce the impact and cost associated with workplace injuries and to safely return injured employees to their job.

In this position you will:

  •  Provide financial reports, alternate duty tasks reports, letters, memos and other reporting as needed to document activities appropriately according to the Labor and Industries laws in the State of Washington.
  • Oversee ergonomic evaluations and equipment purchase to facilitate movement of the workers’ compensation claim and safety of employee; utilize case management activities to provide case coordination.

QUALIFICATIONS:

Required qualifications for this position include:

Applies to Registered Nurse candidates:

  • Nursing Baccalaureate degree (BSN) from an accredited school of nursing required. Applicants without a BSN degree must actively pursue and attain a BSN within five (5) years of hire. Continued employment by Swedish beyond five (5) years is contingent upon attaining the BSN degree.
  • Registered Nurses employed by Swedish prior to December 1, 2012 are encouraged to pursue the BSN degree, but obtaining the degree will not be a condition of employment.
  • RN license.

Applies to non-nursing candidates:

  • Bachelor’s degree required; Master’s degree preferred.
  • Certification as a Certified Case Manager or Certified Disability Management Specialist or Certified Rehabilitation Counselor.

Experience for both:

  • Minimum of three (3) years’ experience in healthcare setting with background in employee/occupational health, workers' compensation, case management, return-to-work , or other relevant healthcare, vocational rehabilitation or workers' compensation discipline.
  • Knowledgeable in State of Washington Labor & Industries rules and regulations and in OSHA record keeping
  • Intermediate computer proficiency to include database management, word-processing, spreadsheets, and email.
  • Ability to work with employees with diverse ethnic and cultural backgrounds.
  • Ability to work with managers, supervisors, and physicians to provide a multi-discipline approach to early return-to-work, light duty creation and assignments.
  • Ability to recognize and refer employee’s cases when required to proper Human Resources and Leave and Accommodations and other employee programs.
  • Ability to perform effective case management across multiple events and other related programs.

Workers' Compensation Program Performance Advisor - City of Seattle

The Workers' Compensation Unit within the Seattle Department of Human Resources, Division of Administration is seeking an experienced Washington state workers' compensation professional to serve as its program performance advisor.  Overseeing both the technical and quality assurance aspects of the City's workers' compensation program and reporting to the Workers' Compensation Manager for the unit, this role provides leadership, training, claim oversight, and audit support to the self-insured, self-administered team.  The individual selected for this role will lead the design, development, and implementation of unit procedures and guidelines and will be responsible for conducting unit training and providing ongoing support to the team to support compliance.  The role is responsible for conducting program analysis and presenting innovative approaches to management that improve and support the success of the program.