Claims Administrator

REI (Recreational Equipment Inc.) • Full-time • Seattle, Washington, United States • $28.08 - $42.21 / hour • 3m ago

Overview

REI Co-op is united around discovering, building and celebrating better ways of working in this world, all so that folks can find and pursue a love of the outdoors. When you work for the co-op, you do your best work with the support to live your best life. And you play a part in shaping the future of the outdoors, for people and our planet.

This job administers REI’s multi-state Workers' Compensation programs including self-insurance, high deductible policies, and monopolistic state funds. It tracks and reports claims under coverage lines including but not limited to property, general liability, and automobile liability, and supports various internal safety, loss prevention, and insurance-related programs and processes. Responsibilities include claims monitoring and administration, creating reports and analysis to understand claims and claim trends, and communication with employees, claimants, managers, EHS personnel, insurance carriers and adjusters, state regulators, and both internal and outside counsel. The position contributes to REI’s success by actively managing a multi-million dollar claims portfolio. Models and acts in accordance with REI’s guiding values and mission.

Responsibilities and Qualifications

How you'll be successful:

Complete initial review of all reported liability incidents and workers’ compensation claims one business day of receipt, and report all liability incidents which constitute claims within three business days.
Complete contacts with employees, claimants, and TPA/adjusters within three business days of claim filing establish action plans and clarify expectations.
Work with TPA/adjusters and counsel when applicable to determine relevant information needed to move claim to resolution and proactively work with internal departments (i.e. managers, HR, EHS, Payroll) to gather and deliver this information
Using general logic and critical thinking skills, initiate or participate in investigations of claim circumstances.
Request and preserve photos, video footage of accidents, and police reports when such evidence is relevant to the claim investigation process.
Conduct regular check-ins on open claims, and assemble other internal stakeholders (i.e. Legal, managers, HR, EHS) for updates when necessary.
Administrate REI’s return-to-work policy by supporting field management in developing and offering modified work within established guidelines for workers’ compensation claims. Ensure accurate return-to-work information is timely conveyed to TPA/adjusters, including updates during life of claim.
Initiate and participate in regular reviews with external service providers and internal stakeholders to ensure proper action plans and claim resolution strategies are in place.
Review and approve or escalate reserve and settlement recommendations within Chart of Authority.
Regularly prepare concise summaries and recommendations for large workers’ compensation claims and severe or complex claims to Sr. Risk Manager and internal stakeholders.
Regularly review claim data and loss runs to identify claim trends and impacts, and relay to internal stakeholders.
Prepare and file mandatory state filings and reports for self-insured programs and monopolistic states.
Support REI’s integrated disability management program for workers’ compensation claims.
Functional knowledge of OSHA form 300, 300A and 301 recordkeeping and reporting requirements
Track OSHA reportable claims in accordance with recordkeeping requirements alongside EHS, and complete Bureau of Labor Statistics reports.
Follow all applicable laws and administer programs in accordance with company policies and procedures.
Utilize multiple third-party administrator data systems and reporting tools.
Ensure national REI locations have the applicable support documentation to support compliance with REI and State workers’ compensation requirements.
Occasional travel to REI locations, claim reviews, and/or educational/training opportunities.

Bring your passionate, authentic self. We lead with our values, and we are creating a culture that inspires and enables everyone to bring their whole self and their highest ambitions to work every day, so that we can achieve more outside together. Join us in seeking, creating, and building new ways to work.

Your qualities:

General knowledge of Property, Workers’ Compensation, Business Auto, and General Liability claims processes required.
Three (3) or more years Workers’ Compensation claims adjusting or administration experience required.
Functional knowledge of Workers Compensation State legal statutes and procedures, including CA, AZ, NY, and PA, and monopolistic states OH and WA.
Bachelor’s degree preferred.
Associate in Claims (AIC) or similar professional designation of three years maintaining Claims Adjuster license.
General knowledge of ADA regulations and the interactive process for workplace accommodations.
Strong interpersonal and communication skills with ability to professionally communicate both verbally and in writing with employees and outside partners, recognizing and appropriately responding to others’ perspectives.
Strong active listening skills and the ability to communicate with empathy while understanding how to avoid statements that specifically admit liability.
Proficient in Microsoft Outlook, Teams, Word, and Excel with ability to learn new systems (ex: RMIS or third party claims administrator sites)
Comfort with escalating complex issues and seeking clarification to fill in knowledge gaps.
Strong time management skills.
Actively participates and collaborates with others on one's own team and across REI for the achievement of business goals.
Flexible in one's viewpoints and positions in order to support the direction taken by others at REI.
Uses business knowledge, innovative thinking, and sound judgment in the solution of problems or the pursuit of business opportunities.
Consolidates information from various sources including feedback from others to reach sound decisions.
Considers the ultimate impact of decisions and actions on internal and external customers.
Works smart by setting effective work goals, establishing priorities, and planning well in order to produce quality work.
Executes effectively by using resources efficiently, meeting deadlines, and keeping others informed of work plans and progress toward goals.
Clearly conveys and accurately receives information by a variety of methods and in various situations.
Builds rapport with all kinds of people inside and outside the organization.
Acts upon opportunities and involves and influences others in the accomplishment of worthwhile organizational goals.
Challenges the status quo, champions change and influences others to change.

Closing

At REI, we believe the outdoors is for all. We are committed to becoming a fully inclusive, anti-racist, multicultural organization. We know that there's strength in our diversity – that each employee brings unique skills, experiences, and perspectives. Every day you are driving change, fostering a culture of respect, and knowing you're backed by benefits that support your whole life. To work towards this commitment and fulfill our brand promise of inspiring and enabling a life outside for everyone, we seek employees who demonstrate different ways of working, create a sense of belonging, and actively listen and learn.

Pay Transparency

We are committed to practices that promote pay equity and transparency. As required by applicable Pay Transparency laws, REI provides a range of compensation for roles that may be hired in locations under these requirements. Factors that may be used to determine your actual salary may include a wide array of factors, including: your specific skills and experience, geographic location or other relevant factors.

REI offers all regular employees a generous employee discount, access to health benefits, a retirement savings plan and accrued time off. Click here for a detailed overview of benefits plans by employee profile.

Pay Range

$28.08 - $42.21 per hour