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Workers' Compensation AnalystCompany City of Seattle
Location Seattle, WA
Update 9 Day ago
In this role, you will be part of a team of nine and will act as a consultant to SDHR and other City departments. You would be aligned with one or more departments, with the aim of building strong working relationships with your customers, acting as the point of contact for employees, and dedicating yourself to an all-star level of customer service. You will be the adjudicator and claims manager for a caseload with those departments, with a wide variety of claims.
This position offers a unique set of challenges and rewards. The Workers' Compensation unit is restructuring many roles and responsibilities, in addition to standardizing policies, practices, and procedures. We are aligning to a highly consultative model that supports the health and well-being of essential City workers, such as Firefighters, Police Officers, and Lineworkers
Here's more of what you'll do:
Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine compensability within the scope of Title 51. Manages claims through well-developed action plans and diary management to an appropriate and timely resolution.
Calculate and assign timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculate and pay benefits due; approves and makes timely claim payments and adjustments in accordance with Title 51.
Prepare necessary state fillings within statutory limits.
Oversee the resolution of litigated files.
Coordinate vendor referrals for additional investigation and/or litigation management.
Use appropriate cost containment techniques including strategic vendor partnerships, such as nurse case managers and vocational rehabilitation counselors, to reduce overall cost of claims for the City.
Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Ensure claim files are properly documented and claims coding is correct.
You will be successful if you have a passion for:
Delivering high levels of customer service to internal stakeholders, including injured workers and their home departments
Acting in a fair and equitable manner with employees throughout an organization
Collaborating with teams to generate positive outcomes
Striving for meticulous organizational practices, case management, and record keeping
Your effectiveness in this role will depend on your ability to:
Drive claims to conclusion
Be self-motivated and resourceful
Establish and maintain positive working relationships with external and internal stakeholders
Manage multiple priorities quickly while ensuring deadlines are met and partners are satisfied
Adapt quickly to updates in policies, procedures and workflows in a time of change
In addition to the qualities mentioned above, you will need to possess the following required qualifications (or a combination of education, training or experience which provides an equivalent background required to perform the job):
Education : A four year degree in business or public administration, legal, medical or other related field, and
Experience: At least one year of Washington State workers' compensation claims management experience.
Work Environment/Physical Demands : Work is performed in an office environment. Work may require contact with abusive and/or emotionally distraught injured workers.
Three or more years of Washington State workers' compensation claims management experience
A certification, including one or more of the following: AIC, WWCP, Approved Claims Administrator
To be considered for this role, you must submit a resume in addition to fully completing the application no later than 4:00pm Pacific Time on Tuesday, October 17, 2017 .
In addition, all potential Human Resources team members are evaluated for the following department values:
Respect – We demonstrate regard for ourselves and others; we are open minded, considerate, fully present, engaged and responsive
Excellence – We perform and serve to the highest standards; we attain outstanding results through innovation, effort and personal commitment
Integrity – We are worthy of trust because we do the right thing; we are ethical, principled and transparent and behave consistent with our values
Equity – We honor differences and seek diverse backgrounds and perspectives; we are inclusive and pursue just outcomes
Accountability – We take responsibility and follow through with intention; we take ownership of the process and results
Adaptability – We are flexible and resilient; we respond readily to change and new conditions, seek solutions and do our work with optimism
Integration – We are a team; we work holistically and strategically, incorporate others and are mindful of impact
Hiring process involves background check of conviction and arrest records in compliance with Seattle's Fair Chance Employment Ordinance, SMC 14.17. Applicants will be provided an opportunity to explain or correct background information.
Who May Apply: This position is open to all candidates that meet the minimum qualifications. The City of Seattle values diverse perspectives and life experiences. Applicants will be considered regardless of race, color, creed, national origin, ancestry, sex, marital status, disability, religious or political affiliation, age, sexual orientation, gender identity, or pregnancy. The City encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with diverse life experiences.
If you have questions please contact Lindsey King at Lindsey.King@seattle.gov .