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 outstanding customer service and proactive claims management to City employees. Our team administers the City’s self-insured and self-administered workers’ compensation program with a human centered focus. We are looking for a Senior Workers’ Compensation Analyst to analyze and effectively manage the most complex and technically challenging workers’ compensation claims! This position will provide you with the opportunity to utilize your critical thinking skills, empathetic customer service, strong time management, and sound judgment to resolve intricate claims issues and act as a knowledgeable consultant to your teammates!

The work associated with this position is expected to be a hybrid combination of telecommuting and onsite work and meetings, 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
• Experience in adjudicating self-insured claims
• Reading and interpreting medical terminology and the Washington Labor and Industries Medical Treatment Guidelines
• Communicating with a wide variety of people and perspectives, including in situations that require confidently defending your decision-making
• Calculating and assigning timely and appropriate reserves to claims; managing reserve adequacy through the life of the claim based on ultimate probable outcome
• Managing claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
• Certified Claims Administrator (through Washington State L&I)
• Washington Workers’ Compensation Professional designation (WWCP) is beneficial

Capital Region ESD 113 is committed to closing gaps, growing people, influencing change, and eradicating racism through our service to our region and state. BIPOC as well as culturally and linguistically diverse candidates are strongly encouraged to apply.

The job of Senior Claims Adjudicator is done for the purpose/s of evaluating eligibility and processing
workers compensation claims in compliance with WCT and state regulations; documenting actions;
conveying information regarding claims and benefits; providing testimony as may be required in benefit
disputes and acts in the capacity of Claims Administrator as directed in that person's absence; and
operating relatively autonomously in bringing claims to closure.

This position is 8 hours/day, 260 days/year. Benefits include Medical/Vision/Dental Insurance; FSA/DCAP; Life/AD&D Insurance; LTD Insurance; EAP; Retirement; DCP; Annual/Sick/Personal Leave and Holiday pay.