Director, Claims
Puget Sound Educational Service District, Renton, Washington, United States, 98056
Salary :
$120,748.00 - $158,432.00 Annually Location :
Renton, WA Job Type:
Full-Time Job Number:
260123001 Department:
Administration Program:
Workers' Compensation Trust & Unemployment Pool Opening Date:
01/23/2026 FLSA:
Exempt
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. Purpose Statement The job of Director, Claims, is done for the purpose/s of overseeing and supervising the daily claim handling activities of the Workers Compensation Trust (WCT) and Unemployment Pool (UP); establishing, scheduling, and assigning work priorities; adjusting schedules when necessary to meet completion targets; and coaching and assisting staff with resolving complex claim handling issues while ensuring adherence to service and quality standards. This job reports to Executive Director, WCT/UP Position open until filled so please submit application by best consideration date of
2/4/2026.
First interviews tentatively set for
2/11/2026. Essential Functions Analyzes 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. 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 Functions
Assist other personnel as may be required for the purpose of ensuring an efficient and effective work environment. Job-Specific Competencies JOB-SPECIFIC COMPETENCIES ACCOUNTABILITY: 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
Bachelor's Degree in Risk Management, Insurance, or related field
AA degree in Risk Management, Insurance, or related field and 3+ years of progressively responsible work-related experience, or A high school diploma/GED or equivalent and 6+ years of progressively responsible work-related experience
Previous experience managing workers' compensation claims in Washington State Previous claims supervisory/leadership experience Current Washington State-certified claims administrator designation or certification,
or Actively pursuing Washington State-certified claims administrator designation or certification with successful completion within 2 years of hire. Preferred Qualifications
Origami Claims Management System proficiency Experience utilizing claims analytics to inform quality measures Knowledge of workers' compensation claims and risk management best practices Previous unemployment insurance claims management experience Experience coordinating and executing claim-related client stewardship activities We offer comprehensive benefits:
Medical, dental, and vision through the 24 annual leave days per year 12 sick days 12 paid holidays Participation in Washington State Department of Retirement System Tax Sheltered Annuity Plan Subsidized ORCA card, free parking, and access to EV car charging stations (Renton office)
01
Upon hire can you submit proof that you are legally eligible to work in U.S.?
Yes No
02
Prospective staff, interns, and volunteers will have their records checked through the Washington State Patrol criminal identification system and through the Federal Bureau of Investigation via a fingerprint check using a complete Washington state criminal identification fingerprint process. Are you willing to submit to this process?
Yes No
03
Which of the following responses best represents your completed education?
Master's Degree or Above Bachelor's Degree Associate's Degree High School/GED None of the Above
04
Do you have professional experience working in Risk Management, Insurance, or related field?
1 to 3 4 to 6 7 to 15 16+ years 0 to 1
05
Do you possess any previous experience managing workers' compensation claims in Washington State?
Yes No
06
Do you have any previous claims supervisory/leadership experience?
Yes No
07
Do you possess or will you possess, within 2 years of hire, a Washington State-certified claims administrator designation or certification?
I possess a WA certified claims administrator designation or certification. Yes, within 2 years of hire I will possess a WA certified claims administrator designation or certification. I do not and will not possess a Washington State-certified claims administrator designation or certification.
Required Question
$120,748.00 - $158,432.00 Annually Location :
Renton, WA Job Type:
Full-Time Job Number:
260123001 Department:
Administration Program:
Workers' Compensation Trust & Unemployment Pool Opening Date:
01/23/2026 FLSA:
Exempt
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. Purpose Statement The job of Director, Claims, is done for the purpose/s of overseeing and supervising the daily claim handling activities of the Workers Compensation Trust (WCT) and Unemployment Pool (UP); establishing, scheduling, and assigning work priorities; adjusting schedules when necessary to meet completion targets; and coaching and assisting staff with resolving complex claim handling issues while ensuring adherence to service and quality standards. This job reports to Executive Director, WCT/UP Position open until filled so please submit application by best consideration date of
2/4/2026.
First interviews tentatively set for
2/11/2026. Essential Functions Analyzes 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. 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 Functions
Assist other personnel as may be required for the purpose of ensuring an efficient and effective work environment. Job-Specific Competencies JOB-SPECIFIC COMPETENCIES ACCOUNTABILITY: 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
Bachelor's Degree in Risk Management, Insurance, or related field
AA degree in Risk Management, Insurance, or related field and 3+ years of progressively responsible work-related experience, or A high school diploma/GED or equivalent and 6+ years of progressively responsible work-related experience
Previous experience managing workers' compensation claims in Washington State Previous claims supervisory/leadership experience Current Washington State-certified claims administrator designation or certification,
or Actively pursuing Washington State-certified claims administrator designation or certification with successful completion within 2 years of hire. Preferred Qualifications
Origami Claims Management System proficiency Experience utilizing claims analytics to inform quality measures Knowledge of workers' compensation claims and risk management best practices Previous unemployment insurance claims management experience Experience coordinating and executing claim-related client stewardship activities We offer comprehensive benefits:
Medical, dental, and vision through the 24 annual leave days per year 12 sick days 12 paid holidays Participation in Washington State Department of Retirement System Tax Sheltered Annuity Plan Subsidized ORCA card, free parking, and access to EV car charging stations (Renton office)
01
Upon hire can you submit proof that you are legally eligible to work in U.S.?
Yes No
02
Prospective staff, interns, and volunteers will have their records checked through the Washington State Patrol criminal identification system and through the Federal Bureau of Investigation via a fingerprint check using a complete Washington state criminal identification fingerprint process. Are you willing to submit to this process?
Yes No
03
Which of the following responses best represents your completed education?
Master's Degree or Above Bachelor's Degree Associate's Degree High School/GED None of the Above
04
Do you have professional experience working in Risk Management, Insurance, or related field?
1 to 3 4 to 6 7 to 15 16+ years 0 to 1
05
Do you possess any previous experience managing workers' compensation claims in Washington State?
Yes No
06
Do you have any previous claims supervisory/leadership experience?
Yes No
07
Do you possess or will you possess, within 2 years of hire, a Washington State-certified claims administrator designation or certification?
I possess a WA certified claims administrator designation or certification. Yes, within 2 years of hire I will possess a WA certified claims administrator designation or certification. I do not and will not possess a Washington State-certified claims administrator designation or certification.
Required Question