L&I Program CoordinatorClaim Processor, Bilingual (Spanish)

Description

Our Mission: Keep Washington Safe and Working!
Our Values: Customer Focus One L&I Respect Diversity Equity and Inclusion Learning and Growth Reliability

Please Note: This position requires in-office training for the first 6 months (Office location is Tumwater WA).

***** When hired as bilingual our top applicant will be required to pass an assessment of your ability to write and speak Spanish fluently. We do not use translating software. Employees with bilingual responsibilities receive a 5% increase in pay.

The Program Coordinator/Claim Processor reporting to the Claim Unit Supervisor within Insurance Services Claims Administration performs work actions on behalf of the unit claim managers. The Claim Processor exercises independent judgment in the performance of assigned work activities. Utilizing program knowledge and experience in compliance with Title 51 agency policy program procedures practices established tasks and standards this position performs customer service; reviews and processes routine activities documents actions and works from established task lists. The activities of this position are designed to process non-adjudicative actions to permit claim managers more time to focus on complex adjudication activities of their assigned caseloads.

This is a bilingual position and you will need to fluently speak read and write in English and Spanish.

The assigned duty station for this position is Tumwater Washington.

Duties

Some of what youll do:

• Correspond in English and Spanish with internal and external customers (injured workers providers representatives and internal staff) through answering incoming phone calls.
• Respond to inquiries to resolve customer questions and concerns through a review of the claim file information.
• Issue payments for the first three days of time loss as directed by the claim manager and in compliance with policies and procedures.
• Review prioritize and process mail items such as removing duplicate messages requesting information to be added to a claim file etc.
• Perform file reviews to bookmark key information in claim files to improve efficiency for claim managers and permit clear focus on adjudication of the complex issues in each claim.
• Create and maintain records of activities including responding to claim file requests interpreting and updating electronic claim files documenting actions via emails and system notifications.
• Receive review and take routine action on secured messages and suspended bills.
• Responding to claim file requests ensuring confidentiality and privacy rules are followed.
• Compile reports and presentations
• Provide back up and coverage activities for other claim processors within each designated service area.

Qualifications

Required:

High school graduation or equivalent

AND

Two years of experience in the program specialty

OR

Equivalent education/experience

AND

• Ability and skill to keyboard at a minimum of 40 words per minute accounting for errors with a 5-minute typing test. To see a typing assessment that meets the requirements visit and take the 5-minute assessment. Take a screen shot of your result save and attach during the online application process. Please do not send a link.

• The ability to fluently speak read and write in English and Spanish.

Required Equity Competencies

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Desired:

Spreadsheet Skills Level 1: Use spreadsheet software such as Microsoft Excel to create modify print and format spreadsheets find and replace data and work with basic formulas and functions. Use templates styles AutoFormats and multiple worksheets.

Six (6) months experience in a call center environment.

Demonstrated research and problem-solving skills.

Excellent communication skills; verbal written and presentation.

Demonstrated attention to detail.

Be able to access and move between multiple computer programs; databases word processing imaging systems and Internet to enter and update information.

Working knowledge of Title 51 Claims Administration policies practices and work standards.

Working knowledge of claims operation systems including LINIIS and ORION.

Supplemental Information

Things You Need To Know

Other work schedules including hybrid telework can be considered after the 6-month classroom training is complete.

State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employees career. Click on the Benefits tab to learn more.

At L&I your voice addition L&I is a diverse state agency dedicated to the safety and health and security of Washingtons 3.3 million workers. Take a look at this brief video and learn more about why L&I is an employer of choice.

To receive more information on opportunities at L&I sign up for GovDelivery and select L&I job alerts.

Application process

We will contact the top candidates directly to interview for this position. Because we base the selection on information provided by you it is in your best interest to identify the knowledge skills and abilities that address the required and desirable qualifications described in the announcement.

Please include the following documents with your application:

1. A describing specific qualifications.
2. A current detailing applicable experience and education.
3. A list of at least three professional references with current telephone numbers.
4. Copy of an on-line that meets the 40-wpm qualification and clearly shows the length of the assessment. To see a typing assessment that meets the requirements visit

Required Experience:

IC