Published on Jul 14, 2020

Claims Specialist

Contact: Recruiting

Association of Washington Cities (AWC) is recruiting for a full-time Claims Specialist for the AWC Workers’ Comp Retro Program to join our dynamic and fast-paced team. The top candidate will be highly organized, detail oriented and have strong customer service skills.

What you'll be doing

  • Analyze and manage medical-only claims by investigating and gathering information to assist the employer in achieving positive claims outcomes
  • Coordinate claim activity with attending providers, vocational counselors, attorneys and L&I claim managers through well-developed action plans to an appropriate and timely resolution
  • Maintain concise yet comprehensive notes/diaries in claims management system, including all applicable documentation, accurate coding and ancillary paperwork
  • Monitor reserve adequacy throughout the life of the claim if applicable
  • Communicate claim action/processing with appropriate parties including, but not limited to: employer, state agency, claimant and appropriate medical providers
  • Preserve professional member relationships
  • Act as back-up to others on the team, as needed

What you bring to the team

  • Associates degree in business, or related field desired
  • Three years’ experience in claims management preferred
  • Working knowledge of workers’ compensation claims administration or adjudication, state and federal statutes/regulations/codes, and general insurance and risk management practices and principles
  • Effective skills in resolving claims
  • Skilled communicator with the ability to communicate effectively both orally and in writing to internal and external parties
  • Ability to work as a member of a team and to collaborate on program initiatives
  • Ability to juggle competing demands between long-term projects and emergent needs
  • Ability to meet deadlines and complete assigned tasks in a timely manner
  • Ability to establish creditability and manage confidential and time-sensitive material
  • Ability to plan, organize and prioritize multiple diverse work tasks for self and others
  • Ability to model the organization’s high standards of quality customer service to all internal and external customers
  • Proficient in Microsoft Office Professional and have the ability to learn and use a wide variety of proprietary software

How to apply

Only candidates who reflect the minimum qualifications listed on the job description will be considered.

Applications no longer accepted.

We value our employees hard work, integrity and dedication to our members. In return for your service, we offer you a starting annual salary range of $41,580 – 46,899, DOQ and an outstanding benefits package.

AWC is a private, nonprofit, nonpartisan organization, which provides a wide array of legislative, training, and other services to all 281 cities and towns in the state of Washington.

We subscribe to the principles of an equal opportunity employer and shall recruit, interview, hire, classify, train, promote, demote, discipline, transfer, terminate, and set rates of pay or other compensation on the basis of merit and qualification without regard to race, religion, creed, sexual orientation, color, national origin, physical disability, sex, age, gender identity, or genetics.

Copyright © 2018-2020 Association of Washington Cities