Maritime Claims Administrator (HRC4) In-Training
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Job Summary
- Description
About WSDOT
The Washington State Department of Transportation (WSDOT) is a multimodal agency with a global reputation for excellence. Our dedicated workforce plans designs builds and operates an integrated transportation system that safely and efficiently moves people and goods throughout the addition to maintaining over 20000 lane miles of state highway and 4100 bridges WSDOT leads an award-winning Active Transportation Plan manages the worlds longest floating bridge and operates the largest ferry system in the nation!
The Opportunity
WSDOT is seeking a skilled and experienced Human Resource (HR) professional to serve as a lead HR Consultant and technical specialist for Employee Health Programs within Washington State Ferries (WSF). Under the direction of the Employee Health Program Manager this position provides advanced consultation and independent decision-making related to employee medical status maritime injury claims return-to-work outcomes workplace safety collective bargaining agreements and state and federal employment laws within a complex 24/7 maritime environment. This position administers and oversees Maintenance and Cure and on-the-job injury claims for WSF vessel workers supports litigation and risk mitigation activities and partners closely with management HR Safety labor representatives and medical providers to promote employee recovery operational continuity and legally compliant claim administration.
What to ExpectAmong the varied range of responsibilities held within this role theMaritime Claims Administrator will:
- Provide advanced-level consultation and technical guidance regarding maritime injury claims administration Maintenance and Cure obligations and return-to-work coordination.
- Independently administer and oversee maintenance and cure claims.
- Review analyze and interpret medical documentation; determine treatment status work capacity return-to-work options and whether proposed care is curative in nature.
- Exercise independent judgment in evaluating treatment requests referrals claim activity work restrictions and return-to-work considerations.
- Determine the initiation continuation suspension and closure of maintenance payments.
- Coordinate and communicate employee work status updates; support operational continuity and compliance.
- Maintain consistent and proactive communication with injured employees and ensure employees understand claim requirements treatment expectations and benefit status.
- Identify barriers to return-to-work and collaborate with operational leadership HR Safety labor partners and employees to explore medically appropriate and operationally feasible return-to-work strategies.
- Coordinate with medical providers bill reviewers Payroll Accounting and Financial Services and agency partners to support timely authorization and payment of approved curative treatment and employee benefits.
Qualifications
This is a Human Resource Consultant 4 position. However the hiring manager reserves the right to fill the position at a lower level in theclassification seriesbased on candidate qualifications providing an opportunity for an individual to gain the required experience on the job as part of a formal in-training plan.
To be considered for this opportunity at theHRC3level the following competencies are required:
Human Resources Occupational Health and Case Management
- Professional experience providing consultation and guidance on complex or sensitive employee matters in fields such as human resources occupational health disability management workers compensation return-to-work coordination leave administration employee relations healthcare coordination or risk management.
- Experience independently managing claims cases assignments or processes related to workers compensation occupational health accommodations leave administration return-to-work coordination or related programs requiring organization prioritization follow-through confidentiality and coordination among multiple stakeholders.
- Demonstrated ability to independently manage competing priorities adapt to changing operational demands maintain accuracy and attention to detail and meet deadlines in a fast-paced environment.
Policy Interpretation Analysis and Decision-Making
- Experience reviewing interpreting analyzing and applying laws regulations policies procedures collective bargaining agreements medical documentation operational requirements or program guidance to support compliant and effective decision-making.
- Demonstrated ability to exercise independent judgment critical thinking research and analytical skills to resolve complex or sensitive issues while balancing operational needs employee support risk mitigation and regulatory compliance.
Communication Collaboration and Conflict Resolution
- Experience communicating professionally and effectively both verbally and in writing with employees supervisors management labor partners medical providers attorneys and other stakeholders regarding sensitive confidential or emotionally charged matters.
- Demonstrated ability to establish collaborative working relationships foster trust and credibility support teamwork and communicate complex information clearly and respectfully.
- Demonstrated interpersonal and conflict resolution skills to support individuals navigating sensitive stressful or emotionally charged situations involving workplace injuries medical issues employee benefits or operational impacts.
Technology and Operational Systems
- Demonstrated proficiency using Microsoft Office Suite applications Microsoft Teams databases spreadsheets electronic records systems Human Resource Information Systems (HRIS) claims management systems case management systems financial systems or similar operational tracking systems.
Growth Mindset Service-Oriented and Interpersonal Skills
- Actively demonstrates a commitment to learning and growth. Take action to learn develop and apply new knowledge skills feedback and experiences to improve individual and organizational effectiveness.
- Willingness to take action to meet the needs of others while demonstrating professionalism empathy respect and equity principles when interacting with employees coworkers management labor partners medical providers or stakeholders.
In addition to the competencies listed above the following are required for consideration at the HRC4 level:
- Highly Regulated Environment Exposure:experience working in a maritime transportation operational safety-sensitive unionized healthcare public sector or other highly regulated environment.
- Medical Documentation Review and Interpretation:Experience reviewing and interpreting medical documentation including Activity Prescription Forms chart notes treatment referrals healthcare billing information International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes work restrictions and related occupational health documentation to support claims administration return-to-work coordination treatment evaluation operational planning or employee support services.
- Benefits and Claims Coordination:Experience coordinating employee benefits healthcare billing treatment authorization provider communication claim payments or related financial and administrative processes requiring accuracy regulatory compliance confidentiality and independent judgment.
- Technical Guidance and Workforce Support:Demonstrated ability to provide technical guidance mentoring onboarding support knowledge transfer or training to staff coworkers or stakeholders to support consistency operational continuity and workforce development in a complex and compliance-driven environment.
- Strategic Thinking and Systems Awareness:Demonstrated strategic thinking and systems awareness skills including the ability to identify operational trends anticipate downstream impacts evaluate organizational risk recommend process improvements and support organizational and program objectives.
It is preferred that qualified candidates also have:
- Medical Terminology and Healthcare Systems Knowledge:Familiarity with medical terminology anatomy and physiology healthcare billing or ICD and CPT coding systems.
- Financial and Claims Systems:Experience using financial claims management or operational tracking systems such as TRAINS 4.0 Purchase Card Management System (PCMS) or similar systems.
- Maritime Injury and Return-to-Work Administration: Experience administering or coordinating maritime injury claims Maintenance and Cure obligations workers compensation claims occupational injury programs or return-to-work services.
- Policy and Regulatory Interpretation: Experience interpreting and applying maritime law collective bargaining agreements occupational health standards disability-related laws leave laws civil service rules or public sector employment policies.
- Quality Review and Process Improvement: Experience conducting quality reviews case audits operational assessments or process improvement initiatives related to claims administration employee health programs or return-to-work coordination.
- Operational Documentation and Workforce Planning:Experience developing procedures operational guidance documents training materials onboarding resources or succession planning tools.
- Professional Certification: Professional in Human Resources (PHR) Senior Professional in Human Resources (SPHR) SHRM Certified Professional (SHRM-CP) SHRM Senior Certified Professional (SHRM-SCP) Certified Disability Management Specialist (CDMS) or related certification.
- Maintenance and Cure or Claims Administration: Experience administering Maintenance and Cure claims managing occupational injury claims or working in a medical provider environment supporting care coordination insurance billing or claims-related services.
Important Notes
- This recruitment may also be used to fill additional positions per business needs.
- Travel is an expectation of the position and may be required on an as needed basis.
- This position requires the ability to respond to non-scheduled emergencies including nights weekends and holidays as needed and to occasionally travel to agency field sites and vessels.
- In addition to base salary employees may be entitled to other forms of compensation depending on the type duties or location of the position. For union-represented positions more information on other forms of compensation can be found in the applicable Collective Bargaining Agreements. Information on other compensation types for non-represented positions can be found in Chapter 357-28 of the Washington Administrative Code.
- This position offers flexible/hybrid remote work options.
- This is a Human Resource Consultant 4 position. However the hiring manager reserves the right to fill the position at a lower level in the classification series based on candidate qualifications providing an opportunity for an individual to gain the required experience on the job as part of a formal in-training plan. The base salaries for each level are:
- Human Resource Consultant 4: $75108 $100980
- Human Resource Consultant 3: $67992 $91464
- WSDOT does not use the E-Verify system therefore we are not eligible to extend STEM Optional Practical Training (OPT). For more information please visit
Why WSDOT
- Work-Life Balance We are committed to ensure that our staff experience the reward of public service while also sustaining a routine that suits each individuals lifestyle. As such there are a number of flexible schedule options available including telework options for eligible positions.
- Paid Leave In addition to 12 paid holidays full-time employees earn up to 25 paid vacation days per year!
- Tuition Assistance Permanent employees have several options for assistance with education expenses including tuition reimbursement programs government discounts at participating colleges throughout the state and eligibility for federal student loan forgiveness.
- PlanFor Your Future WSDOT offers a comprehensive benefits package that includes a variety of healthcare options. Employees also have their choice of state retirement programs and much more. Go to State Benefits for more information.
Check out this video to learn more:Why WSDOT
How to Apply
Applications for this recruitment will be accepted electronically. Your relevant experience may be evaluated to determine salary. Therefore it is very important that the Work Experience portion of the application be completed in as much detail as possible.
In order to be considered for this opportunity please include the following with your online application:
- An attached Resume outlining (in reverse chronological order) your experience to date.
- An attached Cover Letter that further explains your qualifications and indicates why you believe you are a viable candidate for this role.
- Contact details for a minimum of three (3) individuals who can attest to your work performance technical skills and job-related competencies. NOTE: This information may be entered in the References section of the online application; does not require an additional attachment.
Please click the APPLY button to proceed.Note that you will be prompted to either sign in or create an account. This step is required in order to submit an application to this opportunity.
WSDOT is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected included and empowered to bring unique ideas to the agency. Our diversity and inclusion efforts include embracing different cultures backgrounds and viewpoints while fostering growth and advancement in the workplace. All persons regardless of race ethnicity age veteran status sexual orientation and/ or gender identity are encouraged to apply. Persons with disabilities needing assistance in the application process or those needing this job announcement in an alternative format may contact the listed Recruiter.
Contact Us
For inquiries aboutthis posting you may contact the assigned Recruiter at.Please be sure to reference26DOT-HQ-00088in the subject line.
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