Claims Quality Auditor jobs in Tacoma, WA

Brown & Brown is seeking a Worker's Compensation Claims Manager to join our team in Tacoma, Washington!

The Washington Workers' Compensation Claims Manager position will support the agency's L&I consulting practice. The WC Claims Manager will manage a book of claims for consulting clients with the goal of containing claim costs and supporting implementation of recommended strategies. The duties relate to managing state fund employers' claims, not acting as a TPA for self-insured businesses. The WC Claims Manager will consult with clients in guaranteed cost and retrospective rating arrangements and will gain familiarity with both concepts in order to effectively advise clients. The WC Claims Manager will be responsible for carrying out all tasks as outlined in the Workers' Compensation Claims Manager Job Description "Roles and Responsibilities" addendum and report directly to Workers' Compensation Practice Leader.

Essential Duties & Responsibilities:

• Review and evaluate materials from the employer, L&I, and medical sources.
• Organize and prioritize work and new claims based on multiple criteria.
• Work with the employer to effectively investigate, respond to, and mitigate claims.
• Assist clients with identifying light duty opportunities and implement return-to-work strategies.
• Communicate with medical providers to determine medical outlook, timelines, physical restrictions, and appropriateness of treatment.
• Use all available information to develop plans of action for each claim.
• Advise and educate clients on best practices for workers' compensation.
• Check the work of L&I Department employees to ensure proper procedure is being followed, actions are timely, and errors do not result in increased costs for clients.
• Communicate with L&I employees and advocate on behalf of clients.
• Coordinate with Brown & Brown team to provide financial analytics and execute on overall service plan for clients.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Planning/organizing—the individual is highly organized and is able to work on multiple projects simultaneously with frequent interruptions and changing priorities.
• Interpersonal skills—the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things.
• Oral communication—the individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills.
• Written communication—the individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information. Must also be able to accurately communicate technical information in a concise manner.
• Problem solving—the individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
• Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
• Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
• Safety and security—the individual observes safety and security procedures and uses equipment and materials properly.

Education and/or Experience:

• Experience with Washington workers' compensation claims management is required.
• Experience with commercial insurance industry basics preferred but not required.
• Excellent oral and written communications skills.
• Analytical, detail-oriented, with a commitment to accuracy. Must be able to self-check work.
• Good people skills and ability to work well in a team environment.
• Self starter.
• Highly organized and deadline focused.
• Proficient with Microsoft Tools, Outlook, Word, especially Excel and PowerPoint.

Compensation:

$31.25 to $38.46 hourly wage based on experience.

Job Type: Full-time

Pay: $36.06 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work setting:

• In-person

Ability to Relocate:

• Suite 501 Tacoma, WA: Relocate before starting work (Required)

Work Location: In person