Director, Claims
Company: Puget Sound Educational Service District (PSESD)
Location: Renton
Posted on: November 6, 2024
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Job Description:
DESCRIPTION
Puget Sound Workers' Compensation Trust and Unemployment Pool
(PSWCT/UP) seeks an experienced Director of Claims to provide
leadership and subject matter expertise to a well-established,
high-quality claims handling function encompassing the management
of workers' compensation and unemployment compensation claims. The
role is responsible for the development, implementation, and
management of initiatives and strategies, grounded in best
practices, to mitigate loss while optimizing school district
membership value and maximizing the injured worker experience. The
Claims Director will collaborate with internal and external
partners and a dynamic group of certified claims professionals,
along with imbedded attorney and case management personnel, to
inform the execution of tools and methods in delivering the best
possible claims experience.
This job reports to -Executive -Director, -WCT/UP
Open until filled; for best consideration, submit a complete
application by -best consideration date of 11/10/2024. -PSESD is
one of nine regional educational agencies serving school districts
and state approved charter and private schools in Washington.
Serving over 39% of Washington's K-12 public school students, our
agency provides critical services designed to ensure that our
students are ready to enter school, achieve at high levels in the
K-12 system, and succeed in postsecondary endeavors. We are
committed to becoming an Antiracist Multicultural Organization
driven by equity in education. To learn more about PSESD, visit
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PSWCT/UP (a department of Puget Sound Educational Service District)
is a group self-insured program for workers' compensation and
unemployment compensation coverage for 35 school districts and
PSESD and their 45,000 employees in King, Pierce, Skagit,
Snohomish, and Whatcom counties. -Essential FunctionsAnalyzes
data/information specific to claims handling activities for the
purpose of making and implementing recommendations through new and
revised policies and procedures.Develops staff objectives and goals
for the purpose of ensuring staff understand performance
expectations, receive regular feedback and coaching, and are
appropriately rewarded and developed. -Embodies the principles and
practices that form our culture and commitment to becoming an
Antiracist Multicultural Organization for the purpose of meeting
the Agency's End: Success for Each Child and Eliminating the
Opportunity Gap by Leading with Racial Equity.Engages staff to
confirm assignments and tasks are commensurate with experience and
capabilities, and that they receive proper orientation and on-going
training and professional development to be the best version of
themselves.Leverages -technical expertise for the purpose of
providing direction and coaching in various areas such as
compensability determination, investigation, coverage
interpretation, reserve management, and settlement. -Manages and
directs a team of claim handling professionals for the purpose of
ensuring delivery of best practice -claim handling services to
member school districts that adhere to policies/procedures and are
consistent with industry and state regulatory standards.Manages
approval authority criteria for reserve management, payments, and
settlements for the purpose of expediting the claim handling
process and avoiding unnecessary delays and missed opportunities.
-Monitors new and emerging regulations/legislation/policies for the
purpose of assessing impact on claim handling practices, making
recommendations to executive leadership, and ensuring compliance to
avoid penalties and negative branding.Oversees the claim handling
staff for the purpose of achieving stated outcomes, maintaining
adequate staffing levels, optimizing productivity, and
accomplishing objectives within budget.Procures necessary and
adequate resources for the purpose of providing access to claim
handling staff in support of their work and cultivating a best
practice claim handling environment. -Reviews and analyzes claim
files for the purpose of providing constructive feedback and
coaching to staff to optimize claim outcomes.Supports
administrators and agency staff for the purpose of responding to
requests and/or making recommendations.
Other FunctionsAssist other personnel as may be required for the
purpose of ensuring an efficient and effective work
environment.
JOB-SPECIFIC COMPETENCIES
ANTIRACIST LEADERSHIP -COMPETENCIESCULTURAL PROFICIENCY:
Articulates and applies historical context of racism and
understands the current reality of students and communities of
color -in order to -support racial equity. Actively -demonstrates
-a commitment to supporting equity and inclusion, and serves as an
advocate with colleagues, partners, and communities to meet the
Agency's End and goal of becoming an Antiracist Multicultural
Organization in support of -eliminating -the opportunity gap.RACIAL
EQUITY ADVOCATE: Recognizes, supports, and engages in dismantling
institutional racism. Partners with and is accountable to those
with whom we are in a transformational relationship, including
children, families, and communities of color.RACIAL EQUITY MINDSET:
-Demonstrates -awareness of biases, internalized racial superiority
and oppression. Leads with a racial equity lens and actively uses
the racial equity tool in meaningful ways.TRANSFORMATIONAL VALUES:
Contributes to valuable and positive, antiracist transformation in
individuals, organizations, and social systems -in an effort to
-actively progress across the antiracist multicultural institution
continuum. -Is able to -foster a sense of community and shared
purpose via collaboration and cooperation with others inside and
outside PSESD. -Embodies the principles and practices that form the
Agency's culture. Operates from an abundance mentality that
recognizes -opportunities, and -is optimistic and realistic about
the future.
JOB-SPECIFIC COMPETENCIESACCOUNTABILITY: Takes responsibility and
ownership for successfully -accomplishing -work and Agency
-objectives -and delivering results. Sets -high standards -of
shared performance for self and others.BUILDING EFFECTIVE TEAMS:
Builds a diverse and cohesive team who work together toward shared
goals. -CLAIMS MANAGEMENT: Administers the claims process from
start to finish, -utilizing -case management best practices, risk
analysis, critical thinking, and interpersonal skills.MANAGING AND
MEASURING WORK: Prioritizes and organizes work plans based on
-objectives -and desired outcomes. Collaborates and shares
responsibility for decisions and monitors progress toward goals by
-establishing -strong feedback channels.RISK ANALYSIS AND
MANAGEMENT: -Identifies, -defines -and analyzes risks to the
Agency, represented districts, programs, staff, and students posed
by potential adverse actions or events. Plans, communicates, and
implements measures that will avoid, reduce, overcome, or
compensate for elements of risk.
MINIMUM QUALIFICATIONS
PREFERRED QUALIFICATIONS
Keywords: Puget Sound Educational Service District (PSESD), Edmonds , Director, Claims, Executive , Renton, Washington
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