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.
Employment Exchange
Claims Officer II - King County
Salary: $87,214.40 - $110,572.80 Annually
Location: Seattle, WA
Job Type: Career Service, Full Time, 40 hrs/week
Job Number: 2024CY20991
Department: DHR - Dept. of Human Resources
Division: Central Employee Svcs Div
Opening Date: 02/27/2024
Closing Date: 3/12/2024 10:00 AM Pacific
The Department of Human Resources, Central Employees Services Division (CESD) seeks a knowledgeable and customer-focused Claims Officer II to join the Safety and Claims unit. The successful candidate will join a team where the number one priority is the health and safety of King County employees.
Reporting to the Safety and Claims Manager, the Claims Officer II will bring authentic empathy to the work of adjudicating Worker’s Compensation claims. In accordance with industrial insurance legal requirements and claims management standards of King County, a self-insured entity in Washington State, the County is responsible for self-administering its own Workers’ Compensation program.
The Claims Officer II will champion King County's deep commitment to equity and social justice (ESJ). This role will be responsible for managing complex Workers' Compensation claims and will require an analytical thinker who knows which questions to ask while conducting investigations. They will pursue the information they need to determine the calculation of time loss payments while ensuring the County maintains compliance with relevant laws, administrative orders, policies and procedures. Within the context of this work, the individual selected will prioritize ESJ, engaging in the challenging work to end systemic and institutional racism.
Job Duties
Bringing strong interpersonal skills, this individual will work directly with employees to inform them of their benefits and claim decisions in a timely, positive manner. As they approach the work with a desire to learn, the Claims Officer II embraces opportunities for growth, welcomes change, and encourages feedback from others. They value the health and safety of employees and feel a sense of accomplishment in providing exemplary claim service.
This role will also:
- Research state laws, regulations, and relevant court rulings related to Worker’s Compensation.
- Initiate and coordinate early return to work, light duty, and alternative work assignments.
- Assist in coordinating compliance of County offices with Americans with Disabilities Act (ADA) requirements.
- Liaise with physicians, attorneys, supervisors, administrators, and employees on issues related to Workers' Compensation.
- Reserve and review medical records,
- Work with external nurse case managers and vocational rehabilitation counselors on selection and case assignment.
- Communicate and negotiate with the Washington State Department of Labor and Industries on determinations, allowances, denials, closures, re-openings, and permanent disability awards.
- Prepare claims for litigation and participate in subrogation matters.
- Maintain professional knowledge and remain current on all applicable federal, state, and local statutes, codes, and ordinances governing the administration and management of Workers' Compensation. Claims Officers are required to take continuing education annually to maintain their certification with the Washington State Department of Labor and Industries.
Workers' Compensation Analyst - City of Seattle
Job Title: Workers' Compensation Analyst
Salary: $83,687.04 - $97,467.84 Annually
Location: Hybrid / Office Location: Seattle Municipal Tower, 700 5th Ave., Seattle, WA
Employer: City of Seattle – Seattle Human Resources
The Seattle Department of Human Resources (SHR) endeavors to promote an equitable and engaging work environment so City of Seattle employees can do their best work and make a difference for the people and communities we serve. SHR focuses on providing high quality services to all City employees and departments and works collaboratively with department leaders to align policies, practices, and programs citywide to fulfill the vision of equity and excellence.
Within the department, the Workers’ Compensation unit delivers customer service and proactive claims management to City employees. This unit is responsible for administering the City’s self-insured and self-administered workers’ compensation program with a human centered focus. We are looking for two (2) compassionate and capable Worker’s Compensation Analysts to adjudicate and effectively manage workers’ compensation claims.
The work of this position requires a hybrid combination of in-office and telework. Additional occasional onsite work and meetings may be required, as directed by business needs.
You will be prepared for this role if you have experience or certification in:
- Washington State workers’ compensation claims handling and management, including pertinent guidelines, laws and rules
- Adjudicating workers compensation claims through developed action plans, managing timely reserve adequacy throughout the life of the claim
- Reading and interpreting medical terminology and the Washington Labor and Industries Medical Treatment Guidelines
- Calculating and paying timely benefits as owed, approving timely claim payments and adjustments
- Communicating with a wide variety of people and perspectives, including in situations that require confidently upholding your decision-making
- Managing claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
- Prepare claims for litigation, including providing testimony as requested, in consultation with the City Attorney Office and unit supervisor
- Certified Claims Administrator (through Washington Department of Labor and Industries)
- Washington Workers’ Compensation Professional designation (WWCP) preferred
Remote-Nurse Case Manager for Worker's Compensation - Heartland Nurse Consulting Services, LLC
Company Overview: Heartland Nurse Consulting Services, LLC is a small but mighty company who is a leading provider of healthcare management services dedicated to ensuring the well-being of employees injured on the job. With a commitment to excellence and a focus on compassionate care, we strive to facilitate the recovery and rehabilitation process for injured workers while optimizing outcomes for both employees and employers.
Position Overview: We are seeking a dedicated and compassionate Nurse Case Manager to join our team, specializing in Worker's Compensation cases. The ideal candidate will have a strong background in nursing, exceptional communication skills, and a passion for advocating for the needs of injured workers. This role offers the opportunity to make a meaningful impact by guiding individuals through the complex process of recovery and facilitating their return to work. We work in partnership with Puget Sound Educational Service District (PSESD).
Responsibilities:
- Provide comprehensive case management services for injured workers involved in Worker's Compensation claims.
- Collaborate with healthcare providers, employers, and insurance carriers to develop and implement individualized care plans.
- Conduct thorough assessments of injured workers' medical and vocational needs.
- Coordinate medical treatment, rehabilitation services, and return-to-work initiatives.
- Advocate for the appropriate utilization of resources and services to optimize outcomes.
- Monitor progress, evaluate effectiveness of interventions, and adjust care plans as needed.
- Ensure compliance with regulatory requirements and ethical standards of practice.
Qualifications:
- Registered Nurse (RN) license, with a minimum of 1 years of clinical experience.
- Previous experience in Worker's Compensation case management preferred.
- Strong knowledge of medical terminology, treatment modalities, and healthcare delivery systems.
- Excellent interpersonal skills with the ability to build rapport and establish trust with diverse stakeholders.
- Effective problem-solving and critical thinking abilities.
- Proficient computer skills, including experience with electronic medical records (EMR) and Microsoft Office Suite.
- Certification in Case Management (CCM) or willingness to obtain within 24 months of hire.
Benefits:
- Competitive salary commensurate with experience.
- Comprehensive benefits package including dental, and vision coverage.
- Opportunities for professional development and continuing education.
- Supportive work environment with a collaborative team culture.
- Work-life balance initiatives and flexible scheduling options.
Heartland Nurse Consulting Services, LLC is an equal opportunity employer committed to diversity and inclusion in the workplace. We celebrate the unique perspectives and talents of our team members and strive to create an environment where everyone feels valued and respected.
Claims Supervisor - King County
SALARY: $113,235.20 - $143,520.00 Annually
LOCATION: Seattle, WA
JOB TYPE: Career Service, Full Time, 40 hrs/week
JOB NUMBER: 2024CY20978
DEPARTMENT: DHR - Dept. of Human Resources
DIVISION: Central Employee Svcs Div
OPENING DATE: 03/01/2024
CLOSING DATE: 3/18/2024 10:00 AM Pacific
Summary
The Department of Human Resources, Central Employees Services Division seeks a knowledgeable and experienced Claims Supervisor to join the Safety and Claims unit. The successful candidate will join a team where the number one priority is the health and safety of King County employees.
Reporting to the Safety and Claims Manager, the Claims Supervisor will provide technical expertise in the management of complex cases. This work includes database and claims management, staff and project development, and supervision of four Claims Assistants. In accordance with industrial insurance legal requirements and claims management standards of King County, a self-insured entity in Washington State, the County is responsible for self-administering its own Workers' Compensation program.
The Claims Supervisor will also:
- Supervise Claims Assistants within the Workers’ Compensation (WC) program:
- Develop onboarding and training programs for staff.
- Participate in the staff selection process.
- Evaluate and document performance; coach, mentor, monitor and motivate staff.
- Provide technical support and serve as the subject matter expert in the following areas:
- *iComp (WC program database of record).
- Perform quality control checks of WC claims.
- Perform audits of claims to ensure integrity and accuracy of the WC program.
- Develop and monitor performance metrics of the WC program.
- Draft and respond to mandatory reporting requirements of the WC program to regulatory agencies, inclusive of the Washington State Department of Labor and Industries (DLI), federal Occupational Safety and Health Administration (OSHA), and others.
- Serve as the subject matter expert for Jones Act and Diver claims for King County.
- Third-party subordination claims (serve as the main point of contact for all claims involving third-party recovery).
- Create/maintain Standard Operating Procedures (SOPs) for processing WC claims.
- Facilitate WC Program Communications and respond to requests for information.
- Liaison between the WC program and King County Departments.
- Serve as the point of contact for departments requesting program data.
- Plan and facilitate monthly staff meetings.
- Manage escalated and increasingly complex claims:
- Coordinate with King County Risk Management on excess insurance policy renewals and claims.
- Manage Department of Labor and Industries requirements for pension claims.
- Partner with the Workers’ Compensation Program Manager and Workers’ Compensation Program Lead to onboard new Claims Officers.
- Serve as the backup to the Workers’ Compensation Program Manager.
- Other duties as assigned.
Technology Director - PSWCT/UP
Puget Sound Workers’ Compensation Trust and Unemployment Pool (PSWCT/UP) seeks an experienced Technology Director to provide strategic and tactical leadership in the planning, development, and implementation of long-term and short-term technology initiatives across PSWCT/UP as well as oversee and manage process documentation in support of work standardization and enterprise-wide goal achievement. The position will serve as the subject matter expert and resource relative to technology-related decision making that benefits and positions PSWCT/UP and its membership for mutual success. The position will also collaborate with internal partners to ensure that technology-enabled services align with membership’s needs and will proactively leverage technology and industry best practices in support of our value proposition to prevent and mitigate exposure while maximizing injured worker outcomes.
Minimum Qualifications
- Bachelor's Degree in Information Technology, Information Systems, Computer Science, Management Information Systems, Computer Engineering or related field and 4+ years of progressively responsible work-related experience; or a high school diploma/GED or equivalent and 8+ years of progressively responsible work-related experience.
- 4 years’ experience supervising employees within an IT environment.
- Office 365 and Teams deployment, management, and maintenance experience.
Location: Renton, Washington
Hiring Salary Range: $113,819 - $149,341 (Salary Band R)
Full Salary Range: $113,819 - $164,845 (Salary Band R
Department: Workers' Compensation Trust and Unemployment Pool
We attract, retain, and motivate exceptional people with an equitable and competitive compensation package. Salary offers consider candidate qualifications and relevant experience.
Finance Director - PSWCT/UP
Puget Sound Workers’ Compensation Trust and Unemployment Pool (PSWCT/UP) seeks an experienced Finance Director to provide strategic and tactical leadership in the planning, development, and implementation of long-term and short-term financial initiatives across PSWCT/UP, including management and oversight of reserves and operational funds, preparation of financial statements and management reports, and coordination of internal audit functions. The Finance Director will be the subject matter expert and resource for providing financial information, guidance, and recommendations to PSESD and PSWCT/UP Leadership, Executive Advisory Boards, PSWCT/UP membership, and regulatory agencies. The position collaborates with internal partners to ensure that financial services align with membership’s needs and proactively leverages business intelligence and analytics to demonstrate and support of our value proposition in preventing and mitigating exposure while maximizing injured worker outcomes. A member of the PSWCT/UP Leadership Team, the role informs decision making that benefits and positions PSWCT/UP and its membership for mutual success.
Minimum Qualifications
- Bachelor’s degree in accounting-related field and 4+ years of progressively responsible work-related experience; or a high school diploma/GED or equivalent and 8+ years of progressively responsible work-related experience
- Enterprise-wide financial reporting and accounting experience
- 4 years supervisory/management experience
Location: Renton, Washington
Job Type: Full time, year 'round
Hiring Salary Range: $113,819 - $149,341 (Salary Band R)
Full Salary Range: $113,819 - $164,845 (Salary Band R)
Department: Workers' Compensation Trust and Unemployment Pool
We attract, retain, and motivate exceptional people with an equitable and competitive compensation package. Salary offers consider candidate qualifications and relevant experience.
Risk Consultant - PSWT/UP
Puget Sound Workers’ Compensation Trust and Unemployment Pool (PSWCT/UP) seeks an experienced Risk Consultant to lead safety and pre-loss initiatives aimed at cultivating best practice risk management culture to promote health and safety at the workplace. The position collaborates closely and effectively with internal and external partners to prevent workplace injuries, investigate incidents/accidents, hazards, environmental health conditions, provide risk control services, and enable the adoption of risk reduction strategies to mitigate job-related risks within assigned school districts. Open until filled; for best consideration, submit a complete application by 3/31/2024. Interviews are tentatively scheduled for 4/15/2024.
Minimum Qualifications
Bachelor's Degree in Business, Risk Management, or related field; or an Associate’s degree in Business, Risk Management, or related field and 3+ years of progressively responsible work-related experience; or a high school diploma/GED or equivalent and 6+ years of progressively responsible work-related experience
Experience providing safety and loss control services
Experience building and maintaining strong relationships with customers and business clients within a risk/carrier environment and/or business setting
Possess a valid driver’s license & evidence of insurability
Preferred Qualifications
Knowledge of Washington State workers’ compensation risk management best practices
Experience persuading and influencing adoption of claims and risk management best practices
Prior successful experience fulfilling client stewardship activities
Claims and risk management experience
Safety/risk management-related designation (CSP, ALCM, ARM, CSRM, etc.)
Experience in a customer-facing position with management of multiple and competing needs in a culturally diverse and inclusive environment
Location: Office based in Renton with possibility for telework (to be completed in Washington State)
Job Type: Full time, year ‘round
Hiring Salary Range: $80,889 – $106,134
Benefits: Medical, dental, and vision plans through WA SEBB program; Department of Retirement Systems participation; generous vacation, sick, and holiday leaves; subsidized ORCA cards; and alternative work arrangements