Demo

Senior Claims Coordinator

Puget Sound Educational Service District
Renton, WA Full Time
POSTED ON 4/14/2025
AVAILABLE BEFORE 5/11/2025

Salary : $72,321.00 - $104,742.00 Annually

Location : Renton, WA

Job Type : Full-Time

Remote Employment : Flexible / Hybrid

Job Number : 240920001

Department : Administration

Program : Workers' Compensation Trust & Unemployment Pool

Opening Date : 11 / 05 / 2024

Description

Purpose Statement

The job of Senior Coordinator, Claims - WCT / UP is done for the purpose / s of providing administrative support in the data entry, setup, adjusting and resolution of workers' compensation and unemployment compensation claims and other assigned roles; and maintaining services within established guidelines, regulations, and standards in support of school districts' claims and risk management efforts.

This job reports to Director, Claims

Job is opened until filled with best consideration date of 11 / 24 / 2024.

Essential Functions

  • Communicates with WCT / UP leadership, related departments, member district personnel, experts, claimants, attorneys, and other outside organizations for the purpose of coordinating activities, responding to inquiries, exchanging information, and resolving claim files
  • Completes the initial intake process with employers, claimants, medical providers, and witness(es) on new claims or incident reports for the purpose of completing the initial assessment.
  • Embodies the principles and practices that form our culture and commitment to becoming an Antiracist Multicultural Organization for the purpose of meeting the Agency's End : Success for Each Child and Eliminating the Opportunity Gap by Leading with Racial Equity.
  • Liaises between WCT / UP and member districts for the purpose of facilitating communication, teamwork, and mutual support.
  • Maintains workers' compensation claims and records for the purpose of documenting actions and ensuring compliance with participating district policies, Industrial Insurance Laws, and / or state regulations.
  • Manages "maintenance" claims in collaboration with the Director of Claims and the Director of Finance that are technically closed but open for collection purposes (e.g., overpayment and third-party claims) for the purpose of ensuring responsible stewardship of entrusted resources.
  • Oversees the performance of Claims Coordinators for the purpose of ensuring the effective and efficient operation of the claim intake and document management functions.
  • Participates in meetings, workshops, and seminars as assigned for the purpose of conveying and / or gathering information required to perform functions.
  • Performs record keeping and general clerical functions (e.g., copying, filing, faxing, maintaining supplies, forms, scheduling appointments, etc.) for the purpose of supporting program operations.
  • Responds to inquiries from a variety of individuals (e.g., WCT / UP leadership, related departments, member school districts, educational organizations, claimants, vendors, medical providers, etc.) for the purpose of coordinating activities, resolving issues, facilitating communication among parties, exchanging information, and / or providing direction.
  • Screens claim forms and incident reports submitted by member districts for the purpose of providing initial assessment and staff assignment.
  • Supports Claims Consultants and the Claims Director for the purpose of maintaining efficiency of team / program operations and / or delivering services in conformance with established guidelines.

Other Functions

  • Assist other personnel as may be required for the purpose of ensuring an efficient and effective work environment.
  • Job-Specific Competencies

    ANTIRACIST LEADERSHIP COMPETENCIES

    CULTURAL PROFICIENCY : Articulates and applies historical context of racism and understands the current reality of students and communities of color in order to support racial equity. Actively demonstrates a commitment to supporting equity and inclusion, and serves as an advocate with colleagues, partners, and communities to meet the Agency's End and goal of becoming an Antiracist Multicultural Organization in support of eliminating the opportunity gap.

    RACIAL EQUITY ADVOCATE : Recognizes, supports, and engages in dismantling institutional racism. Partners with and is accountable to those with whom we are in a transformational relationship, including children, families, and communities of color.

    RACIAL EQUITY MINDSET : Demonstrates awareness of biases, internalized racial superiority and oppression. Leads with a racial equity lens and actively uses the racial equity tool in meaningful ways.

    TRANSFORMATIONAL VALUES : Contributes to valuable and positive, antiracist transformation in individuals, organizations, and social systems in an effort to actively progress across the antiracist multicultural institution continuum. Is able to foster a sense of community and shared purpose via collaboration and cooperation with others inside and outside PSESD. Embodies the principles and practices that form the Agency's culture. Operates from an abundance mentality that recognizes opportunities, and is optimistic and realistic about the future.

    JOB-SPECIFIC COMPETENCIES

    ACCURACY AND ATTENTION TO DETAIL : Ensures work is thoughtfully completed, accurate, and error free to the highest degree possible.

    BUILDING EFFECTIVE TEAMS : Builds a diverse and cohesive team who work together toward shared goals.

    CUSTOMER FOCUS : Commits to clarifying and supporting internal and external customers' goals and strives to meet their expectation and requirements. Consistently acts with customers in mind. Holds self-accountable for providing high quality, responsive and personable customer services.

    DATA GATHERING, ANALYSIS AND SHARING : Collects, examines, and synthesizes information from a variety of stakeholders and sources in a transparent manner that reflects best practices. Shares data in a thoughtful and responsible way to inform, understand issues, or enable decision making.

    PLANNING, ORGANIZING, AND PRIORITIZATION : Assesses the work to be performed, and considers how it should be organized and accomplished, with appropriate priorities and realistic time parameters.

    RECORDKEEPING AND DOCUMENTATION : Gathers, organizes, and maintains records, following confidential information and security protocols as needed. Accurately documents relevant / essential actions, processes, and practices.

    Minimum Qualifications

    MinimumQualifications

  • Associates degree in job related field, or HS Diploma / GED and progressively responsible work-related experience.
  • Professional experience with insurance, legal or workers' compensation claims handling processes
  • Preferred Qualifications

    PreferredQualifications

  • Knowledge of Washington State claims handling processes
  • Origami Claims Management System proficiency.
  • Currently hold or actively pursuing any claims management-related designations
  • We offer comprehensive benefits :

  • Medical, dental, and vision through the
  • 24 annual leave days per year
  • 12 sick days
  • 12 paid holidays
  • Participation in Washington State Department of Retirement System
  • Tax Sheltered Annuity Plan
  • Subsidized ORCA card, free parking, and electric car charging stations (Renton office)
  • Upon hire can you submit proof that you are legally eligible to work in U.S.?

    Prospective staff, interns, and volunteers will have their records checked through the Washington State Patrol criminal identification system and through the Federal Bureau of Investigation via a fingerprint check using a complete Washington state criminal identification fingerprint process. Are you willing to submit to this process?

    Are you able to demonstrate an understanding and commitment to using a racial equity lens?

    Which of the following responses best represents your completed education?

  • Master's Degree or Above
  • Bachelor's Degree
  • Associate's Degree
  • High School / GED
  • None of the Above
  • Do you have professional experience with insurance, legal or workers' compensation claims handling processes?

    Do you have knowledge of Washington State claims handling processes?

    Do you have proficiency experience in Origami Claims Management System?

    Do you currently hold or actively pursuing any claims management-related designations?

    Required Question

    Salary : $72,321 - $104,742

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