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City of Bellevue, Washington · 19 hours ago

Risk Management Specialist

Greater Seattle Area

Full-time

Hybrid

Mid Level

4+ years exp

The City of Bellevue is seeking a Risk Management Specialist for their Workers’ Compensation program. This role is responsible for managing workers’ compensation claims, ensuring compliance with regulations, and collaborating with various stakeholders to support injured employees and program improvement.

Government

No H1B

Responsibilities

Manages Workers’ Compensation claims from initial report through resolution, including communication with injured employees, setting claims handling expectations, and coordinating claim activity

Oversees and manages the City’s relationship with the Third-Party Administrator (TPA), including claim investigation, ongoing claim activity, and resolution of work-related injuries

Administers the financial components of the Workers’ Compensation program, including escrow account reconciliation, bi-weekly wire transfers, and coordination with Finance to ensure accuracy and compliance

Partners with supervisors and managers to coordinate and support the return-to-work program for injured employees

Ensures compliance with Washington State Workers’ Compensation regulations, MMSEA reporting requirements, and all required submissions to state and federal agencies, including quarterly reporting to the Washington State Department of Labor & Industries

Develops and maintains a high level of proficiency with Riskonnect RIMS to support claims tracking, reporting, and analysis

Stays current on changes to Washington State Workers’ Compensation laws, regulations, and industry best practices

Develops and maintains a working knowledge of Medicare, Medicaid, and SCHIP Extension Act (MMSEA) rules

Collaborates with the Risk Manager on special projects and initiatives as assigned

Qualification

Workers' CompensationRiskonnect RIMSFinancial oversightAnalytical skillsMedical terminologyTrust buildingCommunication skillsNegotiation skillsCustomer focusProblem-solving skills

Required

Graduation from an accredited four-year college or university with a degree in Finance, Business or Public Administration or related field

Four years or more of related professional Workers' Compensation claims experience, preferable in WA State or other monopolistic state systems

Familiarity with industry best practices in Workers' Compensation claims management

Proficiency in interpreting medical reports and medical terminology

Or any equivalent combination of education, experience, and training that provides the required knowledge, competencies, and abilities to succeed in the role

Strong customer focus

Ability to establish trust and maintain effective working relationships with all stakeholders

Ability to communicate complex ideas clearly and effectively, both orally and in writing

Ability to manage ambiguity and adapt to changing priorities

Demonstrates sound judgment and quality decision-making skills

Strong analytical and negotiation skills

Action-oriented with the ability to move work forward efficiently

Cultivates innovation and continuous improvement