Employee Health Programs Assistant (HRCA2)

About the role

Posting number: 26DOT-HQ-04579 Department: Dept. of Transportation Division: Headquarters Job classification: HUMAN RESOURCE CONSULTANT ASSISTANT 2 Posting type: Open & Promotional Categories: Human Resources Summary About WSDOT The Washington State Department of Transportation (WSDOT) is a multimodal agency with a global reputation for excellence. Our dedicated workforce plans, designs, builds, and operates an integrated transportation system that safely and efficiently moves people and goods throughout the state. In addition to maintaining over 20,000 lane miles of state highway and 4,100 bridges, WSDOT leads an award-winning Active Transportation Plan, manages the world's longest floating bridge, and operates the largest ferry system in the nation! The Opportunity WSDOT Office of Human Resources and Safety is seeking a Human Resource Consultant Assistant 2 (HRCA2) to serve as the Employee Health Programs Assistant. In this role, you will provide technical and paraprofessional human resource support within the Employee Health Programs (EHP) Unit, with a primary focus on assisting with our on-the-job injury claim programs consisting of Worker’s Compensation and Maritime (Maintenance and Cure) claims. This position will independently process medical bills, coordinate with employees, medical providers, vendors, and agency partners, prepare program data and reports, support Stay-at-Work reimbursement activities, maintain confidential claim records, and provide administrative backup to the Maritime Claims Administrator. Through accurate and timely service, consistent application of established processes, and respectful communication, this position supports employees recovering from work-related injuries and contributes to WSDOT’s commitment to safety, workforce support, reliable service, and resilient operations.  What to Expect Among the varied range of responsibilities held within this role, the Employee Health Programs Assistant will: Interpret and explain HR related rules, policies, procedures, regulations, and collective bargaining agreements (CBA) provisions related to on-the-job injury claims; research and refer any questions that involve complex, new or disputed interpretations. Explain established maintenance and cure processes for maritime claims including required documentation and approved benefit information.  Respond to routine maritime claim inquiries; document the response in the appropriate location.  Compile, review, organize, and provide responsive claim documentation.  Provide new claimants with claim-related information and documents.  Provide factual information, authenticate records, or participate as a fact witness in depositions, hearings, or trials. Monitor the maritime claims inbox as assigned by Maritime Claims Administrator and respond to routine questions and issues.  Review, process, and reconcile pre-approved medical invoices; respond to vendor inquiries regarding invoice and claim status; provide accurate information.  Review and  provide third-party provided Explanation of Review (EOR) and associated documentation to vendors per established procedures.  Provide L&I Workers’ Compensation Claims Support.  Qualifications To be considered for this opportunity, the following competencies are required: Judgment and Escalation:  Ability to apply sound judgment to distinguish routine matters from those requiring escalation to management, HR, or legal resources. Organization and Prioritization:  Ability to work independently, manage competing priorities, and maintain strict timelines. Communication and Interpersonal Skills:  Ability to explain complex or sensitive information clearly and professionally to employees, claimants, medical providers, vendors, and agency staff. Confidentiality and Discretion:  Ability to exercise discretion and maintain confidentiality when handling sensitive employee information, medical documentation, claims matters, and stressful or emotionally difficult situations. Microsoft Office:  Ability to effectively use Microsoft Office products, including Outlook, Teams, Excel, and Word. Growth Mindset: Actively demonstrates a commitment to learning and growth.  Service-Oriented:  Takes action to meet the needs of others. It is preferred that qualified candidates also demonstrate/have: Workers’ Compensation and Maritime Claims:  Demonstrated knowledge of Workers’ Compensation and/or Maritime Claims programs and processes. HR Policies and CBA Provisions:  Demonstrated skill in applying established HR policies, procedures, and CBA provisions to individual employee circumstances. Medical Documentation:  Ability to accurately read and interpret medical documents, including Health Insurance Claim Forms and after-visit Chart Notes. Claims Assessment:  Ability to assess employee claims and supporting documentation for completeness and accuracy and determine appropriate next steps. Benefits and Policy Communication:  Proficiency in explaining complex employee benefits, policies, and procedures in clear and understandable terms. Benefits and Claims Administration: Knowledge of employee benefits, workers’ compensation, and employee injury and claims administration. Fiscal Processes and Systems:  Experience with fiscal processes and fiscal software programs, such as WSDOT’s TRAINS 4.0 and PCMS. Medical Billing and Payment Processes:  Experience with medical billing documents, claim-payment procedures, third-party bill review, and payment reconciliation. Medical Provider and Insurance Coordination:  Experience working with or for medical providers, health insurance companies, and/or related businesses. Policy and Guidance Interpretation:  Proficiency in researching and interpreting policies, procedures, benefit provisions, and other applicable guidance to provide accurate information and resolve routine employee and claims-related questions. Important Notes  This recruitment may also be used to fill additional positions per business needs.  In addition to base salary, employees may be entitled to other forms of compensation depending on the type, duties, or location of the position. For union-represented positions, more information on other forms of compensation can be found in the applicable Collective Bargaining Agreements. Information on other compensation types for non-represented positions can be found in Chapter 357-28 of the Washington Administrative Code. This position offers flexible/hybrid remote work options. WSDOT does not use the E-Verify system, therefore we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit Why WSDOT  Work-Life Balance – We are committed to ensure that our staff experience the reward of public service, while also sustaining a routine that suits each individuals’ lifestyle. As such, there are a number of flexible schedule options available, including telework options for eligible positions.   Paid Leave – In addition to 12 paid holidays, full-time employees earn up to 25 paid vacation days per year! Tuition Assistance – Permanent employees have several options for assistance with education expenses, including tuition reimbursement programs, government discounts at participating colleges throughout the state, and eligibility for federal student loan forgiveness.   Plan For Your Future – WSDOT offers a comprehensive benefits package that includes a variety of healthcare options. Employees also have their choice of state retirement programs, and much more. Go to State Benefits for more information. How to Apply Applications for this recruitment will be accepted electronically. Your relevant experience may be evaluated to determine salary. Therefore, it is very important that the “Work Experience” portion of the application be completed in as much detail as possible.  In order to be considered for this opportunity, please include the following with your online application: An attached Resume outlining (in reverse chronological order) your experience to date. An attached Cover Letter that further explains your qualifications and indicates why you believe you are a viable candidate for this role. Contact details for a minimum of three (3) individuals who can attest to your work performance, technical skills, and job-related competencies. NOTE: This information may be entered in the “References” section of the online application; does not require an additional attachment.  Please click the "APPLY" button to proceed.  Note that you will be prompted to either sign in or create an account. This step is required in order to submit an application to this opportunity. WSDOT is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. All persons, regardless of race, ethnicity, age, veteran status, sexual orientation, and/ or gender identity, are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact the listed Recruiter. WSDOT does not use the E-Verify system, therefore we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit  Contact Us For inquiries about  this posting, you may contact the assigned Recruiter at .  Please be sure to reference  26DOT-HQ-04579  in the subject line.