Compensation Grade: 27
Job Description
SAIF is hiring experienced workers’ compensation claims adjusters who can step right in and help with our growing caseload.
But why choose SAIF? Aren’t workers’ compensation claims pretty much the same from insurer to insurer?
Not really. The SAIF difference is in our unique status, culture, and what we call “total rewards.”
Our status as a not-for-profit corporation allows us to focus on superior service, doing the right thing, and our vision to make Oregon the safest and healthiest state.
We’re also unique in how we treat our employees. Our total rewards program includes cash compensation, health care and other benefits, “Total worker health,” lots of training and development choices, paid time off, and attractive retirement resources such as PERS membership. (By the way, your health care is free if you meet the goals of our wellness program.)
As for your responsibilities, you would provide proactive, complex claim management – including investigating, evaluating, and coordinating claim management and strategy activities. And you would assist in the development of other adjusters by acting as a resource and mentor.
We’re asking for three-to-five years of experience as a workers’ comp claims adjuster, and you must be certified in Oregon. We fully support remote/flex work, though we require that you live in Oregon.
Sound enticing? Read the job description for more.
Responsibilities:
- Maintain claims examiner certification and a current knowledge of workers’ compensation statutes, rules, and case law along with SAIF policies, procedures, and resources. Participate in opportunities to expand knowledge of advanced workers’ compensation claims management and related areas.
- Demonstrate ability to independently and proactively manage claims through advanced technical knowledge of job obtained through training and experience. Applies critical thinking and complex problem solving in order to bring claims to conclusion by identifying claim issues and developing, initiating, modifying, and completing courses of action to achieve claim resolution. Will bring forward new perspectives and creative options when managing claims, and when mentoring.
- Determine benefit entitlement by interpreting and applying workers’ compensation laws, rules, and SAIF policies and guidelines. Understands ongoing legal changes in the industry at advance level and applies them to their work. Benefit entitlement decisions may include medical, temporary or permanent partial disability, or vocational services.
- Analyze claim information, establish reserves up to $85,000 authority limit, and document justification. Refer claims exceeding personal reserving authority to supervisor for approval. Communicate reserve decisions to all interested parties. Re-evaluate and adjust reserves as claim exposure changes.
- Authorize and ensure timely and accurate payment of benefits based on applicable statute and administrative rules.
- Visit and consult with policyholders and agents by leading discussions regarding the claims status and action plans in their claims. Ability to solve problems/issues independently that arise with claims and policyholders.
- Ability to communicate claim complexities to a variety of customers. May be accountable for managing accounts and clients with higher service’s needs. This entails managing challenging conversations and difficult, more complex claim reviews.
- Assist in the professional development of other claims adjusters by acting as a resource, coach, or mentor. Provides pertinent input as subject matter expert and constructive feedback at claim staffing. Exhibits experienced and effective utilization of SAIF resources, including internal business partners.
- Manage litigated claim issues to resolution through collaborative interaction with SAIF assigned attorney or other legal resources. Participate in employer conferences, mediations, and hearings to support the development of resolution strategies. Gather and assess information to posture a defense, modify the claim action, and/or evaluate the claim for settlement.
- Independently identify and act on strategic settlement opportunities by evaluating and analyzing potential exposure and outcomes. Actively participate in negotiation and/or mediation processes. Review claims exceeding personal settlement authority of $20,000 to $35,000 with supervisor, director, or VP for settlement range approval. Prepare settlement documents, authorize payments, and fully document activities.
- Maintain claim records and information to ensure data integrity per SAIF policies and standards. Use management reporting tools to identify opportunities for claim resolution, workflow modification or claim management.
- Explore diverse perspectives and consistently behave sensitively toward differences in cultural norms, expectations, and ways of communicating. Work effectively with others who have different perspectives, backgrounds, and/or work styles.
- Continually sustain the Inclusive Leadership Competencies (ILC) through the Explorer level on an annual basis.
Required Qualifications:
Qualifications:
The following qualifications are recommended:
Six or more years of experience as an Oregon claims adjuster is preferred.
A Bachelor of Arts degree in the humanities, social sciences, liberal arts, business, insurance, or a related field is preferred.
Other combinations of skills and experience may be considered.
Next step
To receive consideration, please submit your resume with a cover letter by the close of this recruitment. We want your submission to count, so be sure it’s complete.
This recruitment will remain open until all positions are filled.
Compensation & Benefits
Typical hiring range: $81,048 - $95,350. The pay range for this position is annually based on a full-time schedule. Actual compensation will be determined using factors such as experience, skills, training, certifications & education.
SAIF provides a wide range of benefits to employees who work at least 20 hours per week, including health care, retirement savings plans, paid time off, and more. For additional information about SAIF's total rewards, visit our website at: Total rewards (saif.com)
*Note that eligibility and cost of benefits can vary depending on the number of regularly scheduled hours, and job status such as regular full-time, regular part-time, seasonal, or temporary employment.
Full salary range: $71,515 - $119,190
Veterans
We provide preference to qualifying and disabled veterans. For more information please visit saif.com/veterans.
About us
Since 1914, SAIF has been taking care of injured workers, helping people get back to work, and keeping rates low by focusing on workplace safety. Together with our partners, we strive to make Oregon the safest and healthiest place to work.
SAIF is an Equal Opportunity Employer that values diversity in its workplace.
