Puget Sound Workers’ Compensation Trust and Unemployment Pool (PSWCT/UP) seeks an experienced Director of Claims to provide leadership and subject matter expertise to a well-established, high-quality claims handling function encompassing the management of workers’ compensation and unemployment compensation claims. The role is responsible for the development, implementation, and management of initiatives and strategies, grounded in best practices, to mitigate loss while optimizing school district membership value and maximizing the injured worker experience. The Claims Director will collaborate with internal and external partners and a dynamic group of certified claims professionals, along with imbedded attorney and case management personnel, to inform the execution of tools and methods in delivering the best possible claims experience.

Solutions Northwest, Inc. is a small consulting firm providing vocational, ergonomics, ADA accommodation and jobsite modification services in the Pacific NW. To meet current business demands, we are seeking to hire an individual whose responsibilities will be two-fold:

1. Working with one client who has a robust integrated disability management program. This is a “return-to-work, stay-at-work” program where employees as well as the employer calls us to seek accommodations to keep them working, or to get back to work when they are off work. The program is so robust that not returning to work with this employer is rare. You will be working with individuals that have an occupational or non-occupational injury/illness and providing them with ergonomics assessments, ADA accommodations, and jobsite modification services. We have a case load waiting for you, with no hustle on your part to get it. It is excellent billing, a great team and the opportunity to be a part of what “stay at work” and “return to work” should look like, with full support from management, employees, and their supervisors.
2. Working as a Vocational Consultant for Washington Workers' Compensation system making eligibility recommendations for vocational services, developing training plans and doing all aspects of case management.

Solutions Northwest, Inc. supports autonomy, independence, and purpose for our consultants. We provide you with quality office furnishings, computer equipment, tech support, and we set up your home office. We also have an administrative team that works to support your success. We strive for and expect excellence, and the admin team helps to be sure this occurs on a consistent basis.

We work out of a real-time database system so everyone is seeing the same information at the same time. This system supports those that work the billable hour making it easy to track your work and be productive.

Successful applicants will want to come ready to work full-time for this great opportunity. We offer a competitive salary, paid time off, health benefits, and continuing education reimbursement. Other benefits can be negotiated.

What’s Your Contribution as a Claims Professional?

By joining our team, you’ll be in charge of serving our network of top-rated employers in Washington State in the adjudication of workers’ compensation claims and risk management in a fast-paced, results-driven, multi-tasking environment.

You will be part of a team effort in maintaining our outstanding performance in the workers’ compensation arena, including contributing your skill set for our ongoing growth and development in serving the needs of our clients.

We’re Looking for Motivated, Client-focused Individuals Who:

• Get ‘under the hood’ with our clients and be passionate about providing superb customer service and leadership;
• Stay current with industry buzz and focus on ways to expand and apply that knowledge both internally and externally;
• Are passionate about the details and proficient in utilizing their time and resources effectively;
• Function collaboratively within a team environment, yet are independently resourceful;
• Have a strong ability to negotiate in a positive manner and implement claims resolution activities proactively;
• Have a keen eye for understanding the financial impact of decisions made, while harnessing the ability to strategize for long-term performance and/or impact;
• Maintain a responsible attitude aimed at securing positive outcomes, while focusing on the overall financial objectives, and;
• Have a passion for learning and/or building experience in the adjudication of workers’ compensation claims in WA State.

Your Preferred Experience:

Four-year college degree is preferred or an equivalent of two years claim management experience.

At the Port of Seattle, we anticipate making salary offers between the minimum and the market reference point of the salary range. Offers will be based on the skill, knowledge, and experience a job candidate brings to the job and is consistent with other employees performing the same or similar work.

Some of what you'll be doing:

As a Worker's Compensation Administrative Assistant, you will be responsible for supporting workers' compensation records management by providing critical document management and control of all employee claims. 

• You will input claims information into electronic claims management system and archive records pertaining to closed claims.
• You will schedule injured worker medical and/or Independent Medical Examination (IME) appointments, compile and submit associated medical records, and ensure appointment letters and reminders are sent.
• You will respond to inquiries from injured employees, medical providers, and other claim stakeholders.
• You will process incoming mail, to include indexing correct claim number, apply date stamp, and route to correct claim adjuster.
• You will ensure that outgoing benefit and/or medical payments and other correspondence including explanation of reviews and bill rejection letters are sent timely and in accordance with Port and State of Washington requirements.
• You will assist and provide backup to Workers’ Compensation Administrator for billing processing and troubleshooting issues as they arise, including researching billing inquiries from providers.

At Sierra Pacific Industries, we understand our greatest strength is the people who choose to build a career with us. We are a third-generation family-owned company that has grown to be one of the largest lumber and millwork producers in the United States. Our more than 6,000 employees are proud to work at our state-of-the-art sawmills and other facilities, including: manufacturing, custom wood-framed windows, fabrication, millwork, veneer, cogeneration, trucking, forestry, and other operations.

We are seeking a talented professional to manage a highly successful, multi-faceted and comprehensive, Workers’ Compensation program. We are a large manufacturing company that is self-insured and self-administered in California, Washington, and Wisconsin; self-insured and third-party administered in Oregon; and fully insured in other states.

This position is highly collaborative and based in our Anderson main office, located in Shasta County, California. We are proud to call Shasta County our home with lakes, mountains, rivers, parks, hundreds of miles of trails, and a variety of other outdoor attractions, making this the perfect outdoor community to live, work, and play!