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.


Claims Manager - Employer Resources Northwest

This is a full time, 40-hour per week, claim manager position in Tumwater, Tacoma, or Spokane.  Manages caseload of approximately 140 worker’s compensation claims to ensure consistency with state WAC, RCW, and Labor and Industries policy.  Provides service to clients which maximizes efficiency of their worker’s compensation program.  Advises Washington State employers on worker’s compensation best practices.  Engages and works as a team with both external and internal clients to achieve results. 

The focus of this job is on achieving results which are aligned with the larger picture of the organization and its strategic goals.  Initiative, coupled with a sense of competitive drive, and the ability to stay focused on results despite changing conditions, is the key to achieving performance objectives of this job.  The work involved innovation and creativity in generating ideas for quick response.  Decision making is focused on implementing practical, timely solutions. 

The job requires getting things done quickly and handling a variety of activities.  Self-assurance, and the confidence to purposely drive toward results while constantly problem-solving and engaging the commitment of others is essential.  The emphasis on building rapport and relationships with individuals and groups requires an outgoing, poised, and persuasive communication style. 

Because the pace of the work is faster than average, the ability to learn quickly and thoroughly while continually recognizing and adapting to changing conditions is critical.  Emphasis is on results, and effective systems that achieve results through and with people, rather than on the details of implementation.

The job environment is flexible, constantly changing and provides growth opportunity, recognition, and reward for the achievement of business results. 

Responsibilities Include (but are not limited to): 

  • Review and analyze all documents pertaining to newly filed worker’s compensation claims including report of accident, chart notes, witness statements, work restrictions, etc
  • Initiate contact with employer clients to discuss new claims, expected duration, return to work, and strategic plan
  • Help employer clients identify light duty work and put together job descriptions for appropriate work
  • Aid employer clients with accident and validity investigation
  • Conduct in depth review and analysis including validity investigation, mechanism of injury, objective findings, wage calculations, return to work strategy and development
  • Educate regarding retrospective rating and impact on insurance rates and retro refund
  • Create regular detailed strategic plans identifying appropriate actions which drive claims to closure
  • Teach employers and assist with making valid offers of employment
  • Communicate with medical providers to obtain work restrictions and communicate work available with a variety of different employers
  • Advise clients on best practices to maximize efficacy of their worker’s compensation programs
  • Research and analyze complex medical materials including MDGuidelines and AMA Guides to make assessments of causation and treatment provided
  • Prepare persuasive written and oral arguments to influence actions on a case
  • Partner and strategize with other claims managers, attorneys, claims consultants, investigators, group managers, vocational consultants, HR professionals, and employer clients
  • Prepare comprehensive claim staffing forms and orally present claim summaries and plans of action to bring claims to closure
  • Triage claims and appropriate identifies priority issues

Requirements:

  • Prefer at least five years industrial insurance experience
  • In depth knowledge of and familiarity with Washington State Worker’s Compensation WAC and RCW
  • Rapport and relationship building focused on achieving results
  • Ability to engage commitment of others
  • Sense of urgency for goal achievement
  • Action-oriented and somewhat collaborative decision making
  • Ability to make quick decisions in response to changing conditions
  • Accountability for results

Wages & Benefits:

 

Wage depends on experience and is highly competitive for the industry.  Medical, dental, and vision insurance.  Short and long-term disability.  Competitive vacation and paid time off policy.  401-k with matching.  Additional benefits based on performance.  ERNwest values work/life balance and is structured to reward high performers.


Public Works Safety & Training Coordinator - City of Yakima

The City of Yakima Public Works Division needs an experienced Safety and Training Coordinator. 

Under limited supervision is responsible for developing, coordinating and administering a comprehensive safety and training program including the creation of structures and protocols that address safety and injury prevention. Provides or coordinates instruction on a wide variety of topics including training of Public Works staff. Maintains safety and training related records and creates executive communication pertinent to equipment, personnel, financial or program activities important to ensure safety of personnel and assets. Compiles and analyzes data, and makes recommendations based on the analysis, prepares safety and training related reports including but not excluding reports related to other city departments such as City Manager's Office, Human Resources and Finance. Work is performed with considerable latitude for initiative and independent judgment and is reviewed through direct observation, results achieved, reports, conferences and performance evaluations. Reports to the Public Works Director.

MINIMUM REQUIREMENTS:

High school diploma or GED and four (4)  years of progressively responsible safety administration, compliance or regulatory experience.  Vocational Certification, Associates or Bachelor's degree, in occupational health and safety, industrial hygiene, environmental health, or closely related field may substitute for two (2) years' experience.  Bachelor's degree, public sector and/or office management experience preferred. 

Must possess and maintain a valid Washington State Driver's License.  Within six months of hire must possess valid first aid and CPR instructor certificates.  Desirable certification as an instructor in Defensive Driving and Hazard Communications Program. 

Starting salary $4,017 – $4,813 monthly + Competitive Benefit package including: medical/dental/vision and FREE healtchare clinic; vacation/sick/holiday leave pay; WA State pension; and more!


Retro Group/Account Manager-Employer Resources Northwest

Employer Resources Northwest, an established workers’ compensation and retro service provider to over 3,000 Washington businesses, is seeking a retro account manager to oversee the day to day operations of a group retrospective rating (retro) program. Training is provided with the expectation there will be a significant learning curve within the first year.

This position entails:

  • Providing participating members with specific tools and strategies to lower their workers’ compensation losses and to maximize retro performance for their company and for the retro group.
  • Acting as the main point of contact for client inquires on a variety of topics including workers’ compensation rates, Department of Labor and Industries (L&I) account changes, retro performance, the monetary impact of claims, and loss analysis.
  • Working collaboratively with internal staff and the sponsoring association on the administrative functions of the group including enrollment, underwriting, retro plan selection, and refund distribution.
  • Ensuring a consistent high degree of satisfaction with all services provided by ERNwest

 

Mandatory skills needed:

  • Great customer service
  • Three to five years’ experience in workers’ compensation claim management, vocational rehabilitation, workplace safety, insurance, risk management, or retrospective rating.
  • Ability to effectively explain the value and processes of injury reporting, return-to-work, and wage continuation.
  • Ability to present complex information clearly and concisely to business owners, executive level management, and line-level employees.
  • Ability to work well with varied personalities and varied levels of understanding of Washington’s workers’ compensation system.
  • Self-starter, detail oriented, with the ability to organize daily activities and multiple priorities
  • Effective written and verbal skills
  • Proficient in Microsoft Word and Excel

 

Additional skills:

  • Knowledge of Washington workers’ compensation, RCW 51 and WAC 296
  • Knowledge of retrospective rating programs
  • Proficiency in MS Publisher, Access, Teams, Power BI

 

Other information:

  • Successful candidate may work from our Tacoma or Tumwater office
  • Salary DOQ. Compensation package is competitive including, medical, dental, vision, 401(k)

Self-Insured Claims Examiner - Penser NA

SELF INSURED CLAIMS EXAMINER

Penser North America’s Self Insured Workers Compensation department, located in Lacey, Washington has an opening for a Claims Examiner. This is a non-union, salaried, administrative, full time position for self-insured Workers compensation claims handling at this Third Party Administrator.

QUALIFICATIONS:
• 3-5 years Workers Compensation claims experience
• Must possess working knowledge of applicable 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.
• Washington Self Insurance certification is preferred, but not necessary.
• 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

• Familiarity with medical codes, terminology, medical aid rules and fee schedule
• Ability to set and adjust reserves, monitor and manage third party claims, and vocational rehabilitation claims


KEY RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO:
•Investigate, evaluate, and adjudicate Workers compensation claims to their conclusion.
• Coordinates referrals and manage, Nurse Case managers, Vocational rehab, and attorneys
• Calculate time loss and ensure timely and accurate delivery of benefits to injured workers.
• Review provider billing for payment, investigate and respond to inquiries from providers.
• Maintain communication with injured workers, employers, medical providers.
• Manage litigated cases, answer legal requests, attend hearings, and mediations.
• Manages claim recoveries, including Second Injury Fund, excess recoveries and Social Security offsets
• Reports claims to the excess carrier; responds to requests for information in a professional and timely manner
• Maintain correct and adequate documentation of claim management in claim system.

SALARY: Salary will be commensurate with experience qualifications.


Administrative Assistant - Penser NA

Administrative Assistant

Penser North America has a position open for an Administrative Assistant Claims Examiner. This is a non-union, salaried, administrative, full time position for Workers compensation claims handling at this Third Party Administrator’s Lacey location.

QUALIFICATIONS:
• 2 year college degree or equivalent experience
• Ideal candidate would have some Workers Compensation claims experience
• Strong investigative, decision making and problem solving abilities.
• Excellent oral and written communications skills, minimum of 50 WPM typing / data entry.
• Superior analytical and reasoning skills.
• Computer proficiency at intermediate level 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
• Familiarity with medical terminology and medical aid rules is desirable.

KEY RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO:

  1. Self-Insured management of medical-only workers compensation claims.
  2. Assist Time Loss and senior claims manager.
  3. Able to gather relevant info to assist in the investigation and evaluation of the claim.
  4. Identify claim issues as they arise, and take appropriate steps to resolve them.
  5. Supports other claims examiners and claims supervisors with data entry, faxes, e-mail, compile and distribute reports, certified mail, and prepare legal notices as necessary.
  6. Maintain contact with physician offices via phone, and fax.
  7. Coordinate timely correspondence and proper documentation between the Department of Labor and Industries, attorneys, vocational rehabilitation counselor, medical facilities and employers as required.
  8. Ability to perform duties with minimal supervision.
  9. Ability to work in a team environment in a cooperative manner.
  10. Maintain professional client relationships.

SALARY: Salary will be commensurate with experience and qualifications. 




L&I Self Insured Ombuds Assistant, Workers' Comp Adjudicator 5

Please Note: This opportunity may be filled in the Tacoma Office.
 
The Office of the Ombuds for Self-Insured Injured Workers is looking for a highly skilled adjudicator with experience managing self-insured workers' compensation claims. Our ideal candidate will have expert knowledge of industrial insurance law, mediation skills, and problem solving abilities to resolve confidential claims issues. Our cases are often complex and require an individual with just the right combination of communication skills and technical ability to achieve a successful outcome.  This is your opportunity to make a positive difference in the lives of injured workers by ensuring they receive the appropriate benefits under the law.

Some of what you will do:
  • Work under the direction of the Self-Insured Worker Ombuds
  • Act as an advocate for the injured worker to ensure they receive the appropriate benefits under the law
  • Apply RCW, WAC, policies, and relevant case law to assess entitlement to worker compensation benefits
  • Negotiate and resolve issues concerning workers of self-insured employers
  • Respond to inquiries, conduct fact-finding investigations
  • Track and monitor complaints, issues, and outcomes
  • Establish and maintain working relationships with injured workers, self-insured employers, third party administrators, department self-insurance adjudicators, and other stakeholders
  • Advise Ombuds of complex or reoccurring issues and assist with process improvements
  • Assist Ombuds in the implementation of the customer outreach program
 
Who should apply 
A Bachelor's degree or Washington Self-Insurance certification and 2 years' of experience in adjudication of time loss claims in a Washington State workers' compensation insurance program, preferably self-insurance.
 
OR
 
Individuals with expert knowledge of industrial insurance law, skilled in adjudicating time-loss claims in a worker's compensation program with a minimum of three years of experience. 

Preferred Qualifications/Experience: 
In addition to the above-required experience, experience/training in mediation and negotiation and experience with self-insurance.
 
What we are looking for:
  • Ability to apply RCW, WAC, policies, and relevant case law to assess entitlement to worker compensation benefits
  • Proficient in Microsoft Office programs; Word and Excel
  • Proficient in utilizing and learning claims management systems
  • Strong clear written and verbal communication skills
  • Refined interpersonal skills, ability to be flexible and adaptable to new situations
  • Develop, compile, prepare and present information to groups of all sizes
  • Honest, respectful and professional in all interactions
  • Accessible, timely, courteous in addressing customers' inquiries and complaints
  • Assess issues, evaluate options, form conclusions and make decisions
  • Consult and employ expertise and credibility
  • Collaborative approach in identifying, evaluating, and resolving issues
  • Mediate disputes and negotiate agreements
  • Cultivate working relationships with internal and external stakeholders
  • Strong investigation, organization, and documentation skills
  • Work effectively in a diverse and team focused work environment
  • Maintain highest level of confidentiality
 
In addition to your application, the process requires you to include a cover letter/letter of interest and resume clearly addressing the above section of job announcement titled: "What we are looking for" to be including in your application package.