Workers' Compensation Analyst

Position Description

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 exceptional customer service and proactive claims management to City employees. Our team is responsible for administering the City’s self-insured and self-administered workers’ compensation program with a human centered focus. We are looking for a compassionate and capable Worker’s Compensation Analysts to adjudicate and effectively manage workers’ compensation claims.
The work of this position requires a hybrid combination of in-office and telework. Additional occasional onsite work and meetings may be required, as dictated by business needs.

Job Responsibilities

You will be successful in this role if you have a passion for:

• Delivering customer-focused service to all claim parties to achieve positive outcomes
• Acting in a fair and equitable manner with employees throughout an organization
• Successfully resolving open claims of varied complexities

• Adjudicate workers’ compensation claims through well-developed action plans and appropriate and timely resolution in accordance with Title 51
• Maintaining claims management organizational practices, file coding, case management, and record keeping
• Hire, direct, and monitor independent professional consultants
• Systematically review for appropriateness of new vocational referrals on claims
• Facilitate return to work opportunities with employing departments
• Submit requests for suspension or termination of benefits as necessary
• Evaluate medical and legal information to determine when the claim can be closedBe self-motivated while utilizing sound judgement and independent decision-making in your claims management
• Maintain confidentiality and professionalism while creating positive working relationships
• Manage multiple priorities quickly while ensuring deadlines are satisfactorily met

• Washington State workers’ compensation claims handling and management, including pertinent guidelines, laws and rules
• Adjudicating workers compensation claims through developed action plans, managing timely reserve adequacy throughout the life of the claim
• Reading and interpreting medical terminology and the Washington Labor and Industries Medical Treatment Guidelines
• Calculating and paying timely benefits as owed, approving timely claim payments and adjustments
• Communicating with a wide variety of people and perspectives, including in situations that require confidently upholding your decision-making
• Managing claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
• Prepare claims for litigation, including providing testimony as requested, in consultation with the City Attorney Office and unit supervisor
• Certified Claims Administrator (through Washington Department of Labor and Industries)
• Washington Workers’ Compensation Professional designation (WWCP) preferred

Qualifications

In addition to the ability to perform the tasks described above, you will need to possess the below required qualifications:

• A Bachelor’s Degree in general education, paralegal studies, law, social science, nursing, medical coding, business administration, or a related field
• One year directly reviewing, evaluating, investigating, and processing Washington workers’ compensation, or a related field

• An Associate Degree in general education, paralegal studies, law, social science, nursing, medical coding, business administration, or a related field
• Two years directly reviewing, evaluating, investigating, and processing Washington workers’ compensation, or a related field

• Three years directly reviewing, evaluating, investigating, and processing Washington workers’ compensation, or a related field

• Professional designation as a (self-insured) Certified Claims Administrator in the State of Washington (this professional designation must be maintained throughout tenure in this classification)

• Within 6 months of hire, you must begin working toward achievement of certification as a Certified Claims Administrator through a comprehensive goal-oriented curriculum approved by the Washington State Department of Labor and Industries to achieve certification within two years

Additional Information

This overtime eligible position is classified as a Workers’ Compensation Analyst and reports to the Workers’ Compensation Manager. The full pay range for this step-progression position is $40.08 - $46.68 per hour. New employees begin at Step 1 of the pay progression, which is $40.08 hourly. Current City employees starting rate of pay will be based on Personnel Rules regarding promotions.
Interviews for this position are tentatively scheduled for the week of March 11th.
This position offers the flexibility of a hybrid work schedule. Employees will be expected to be in-office twice a week for a minimum of 4 hours per day. One of these days must be Monday, as the team has a collective in-office day on Monday mornings. Individual schedules will be based on agreement between the employee and their supervisor.
Applicants must successfully pass a background check, which will be conducted in accordance with Seattle’s Fair Chance Employment Ordinance, SMC 14.17. Applicants will be given a chance to explain or correct background information and provide verifiable information of good conduct and rehabilitation.
The City of Seattle recognizes every City employee must play a role in ending institutional and structural racism. Our culture is the result of our behavior, our personal commitments, and the ways we courageously share our perspectives and encourage others to do the same. To cultivate an antiracist culture, we seek employees who will engage in the Race and Social Justice Initiative by working to dismantle racist policies and procedures, unlearn the way things have always been done, and provide equitable processes and services.
The City of Seattle offers a comprehensive benefits package including vacation, holiday, and sick leave as well as medical, dental, vision, life and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: https://www.seattle.gov/human-resources/benefits/employees-and-covered-family-members/most-employees-plans.
APPLICATION PROCESS:
To be considered for this position, please submit your complete application, resume, and cover letter to https://www.governmentjobs.com/careers/seattle no later than 4:00pm Pacific Time on Wednesday, March 5, 2024. 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, medical condition, or pregnancy. The City of Seattle 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 Nicolette Hornbeck at Nicolette.Hornbeck@seattle.gov
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The City of Seattle offers a comprehensive benefits package including vacation, holiday and sick leave as well as medical, dental, vision, life and long-term disability insurance for employees and their dependents.