Workers' Compensation Claims Adjuster - Medical Only Job at Government Jobs, Vancouver, WA

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  • Government Jobs
  • Vancouver, WA

Job Description

Insurance Programs Administrator

Educational Service District 112 - Vancouver Campus

Full-Time

The full salary range will be $68,411.20 - $83,241.60. Offers are made at the beginning of the range. The position is full time, year round.

General Responsibilities

Under the general direction of the Assistant Superintendent for Insurance Programs or designee, provide, adjust, manage, monitor, and handle worker's compensation claims for school districts that are members of the Southwest Washington Workers' Compensation Trust. Claims shall be handled in compliance with the state industrial insurance laws, generally accepted claims, practices and procedures, and the WC Trust policies and procedures.

A complete application will include:

  1. Work history going back 10 years (if applicable)
  2. At least three professional reference's contact information
  3. A Cover Letter expressing interest in the position
  4. A Resume that reflects work experience listed on application
  5. Proof of your degree.

This position is open until filled with applications received by 5:00 p.m. on Wednesday, April 13, 2026 receiving first consideration.

Essential Functions/Other Functions

Essential Functions:

  1. Perform investigations to determine evaluate benefit eligibility of medical only claims; obtain and review medical records, statements, claim documentation.
  2. Adjudicate medical only claims in compliance with state RCW and WAC regulations.
  3. Analyze a variety of claim related information pertaining to eligibility of benefits, duration and anticipated close for the purpose of case reserving.
  4. Prepare and transmit letters and forms within time limits set by statute, WAC and department policies and procedures.
  5. Identify, prepare, and perform claim closures.
  6. Provide claim support to adjusters on time loss claims as requested, including completion of department forms and letters, collection of information, claim closure documentation and time loss calculations.
  7. Provide loss control and other operational support.
  8. Work independently on claims and collaboratively with team members in Insurance Programs.
  9. Maintain strict confidentiality in interdepartmental and external communications.
  10. Maintain regular attendance to carry out the duties and responsibilities of the position.

Other Functions:

  1. Engage in assigned activities with school districts and insurance program employees.
  2. Participate in presentations on claims and related topics.
  3. Provide back up support and engage in tasks requested by Worker Comp Operations Manager.
  4. Attend school district meetings.
  5. Other duties as assigned.

Minimum/Preferred Qualifications & Skills

Minimum Qualifications:

  1. High school diploma or GED.
  2. Hold a current Washington State Self-Insured Claims Administrator Certification.
  3. Experience adjusting workers' compensation claims.
  4. Experience using automated claims system.

Preferred Qualifications and Skills:

  1. Bachelor's degree.
  2. Three or more years of experience handling Workers' Compensation medical only claims with an increased level of complexity.

Working Conditions/Employment Requirements

Working Conditions/Physical Requirements:

  1. Office environment.
  2. Ability to operate keyboard to accomplish required tasks.
  3. Ability to perform stationary routine and repetitive functions for extended periods.
  4. Travel as required

Employment Requirements - ESD job offer is contingent upon satisfying the following:

  1. Successful completion of a criminal history and fingerprint check through the WA State Patrol and FBI.

ESD 112 does not discriminate in any programs or activities on the basis of race, religion, creed, color, sex, national origin, marital status, sexual orientation, gender expression or identity, age, honorably discharged veteran or military status, the presence of any sensory, mental, or physical disability, or the use of a trained guide dog or service animal by a disabled person. The following individuals have been designated to handle questions and complaints of alleged discrimination:

  • Civil Rights compliance Officer: Melissa Kreuder, 360-952-3328, melissa.kreuder@esd112.org
  • Title IX Compliance Officer: Wendy Niehaus, 360-952-3574, wendy.niehaus@esd112.org
  • ADA/504 Compliance Officer: Jeffrey Niess, 360-952-3529, jeffrey.niess@esd112.org

The above information will be provided in the appropriate language for persons with limited English language skills by contacting the ESD at 360-750-7500.

Government Jobs

Job Tags

Full time, Work experience placement, Work at office

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