Workers Compensation/Disability Analyst (Analyst I-CPPW)

City of Portland - Portland, OR

Full-time - Entry Level

Remote - Portland, OR

Executive, Legislative, and Other General Government Support

About the position

The Bureau of Fire and Police Disability and Retirement (FPDR) is seeking a qualified Workers' Compensation Disability Analyst, also known in many organizations as a Claims Examiner or Adjuster. This position is a full-time, regular role that operates on a Monday to Friday schedule from 8 AM to 5 PM, with the possibility of an alternate schedule. The work location is hybrid, requiring the employee to report to 1800 SW First Ave, Portland, OR 97201 for in-person work, while remote work must be performed within Oregon or Washington. The Workers' Compensation Disability Analyst will work under the direction of the Worker's Compensation Claims Manager and will be responsible for the analysis and adjudication of workers' compensation claims of standard to moderate difficulty. This role involves conducting thorough investigations to determine whether injuries or illnesses are occupationally related and establishing the level of compensable benefits in accordance with the City Charter and FPDR Administrative Rules. Incumbents in this position are expected to perform their responsibilities independently, applying sound professional judgment to reach determinations that are fair and compassionate to injured workers while also protecting the City from unnecessary costs. The role requires effective communication with injured workers to provide updates on claim status and involves managing all aspects of assigned claims, including medical, return to work, legal, and subrogation matters. The Workers' Compensation Disability Analyst will prepare reports for management and document all claims work in the FPDR database, ensuring that all actions are well-developed and timely. As a person, the ideal candidate will be a strong self-manager with excellent time management and task prioritization skills, capable of meeting the daily and long-term challenges of claims work. They will be a strong communicator, able to convey complex information clearly and respectfully to various stakeholders, including injured workers, medical providers, and legal counsel. Teamwork is essential, as the candidate will need to value partnerships and support program-wide objectives. Providing excellent customer service is a key aspect of this role, requiring the ability to diagnose core problems and provide thorough assistance to ensure resolution. The candidate should also recognize the importance of equity and diversity in the workplace and commit to applying the City Core Values in their interactions with peers and the public.

Responsibilities

• Conduct thorough investigations of assigned claims to determine whether injuries or illnesses are occupationally related.
• Make timely claim decisions in accordance with the FPDR Charter, FPDR administrative rules, policies, and workers' compensation industry best practices.
• Communicate regularly with injured workers to provide claim status or other processing updates.
• Manage and administer all aspects of assigned claims, including medical, return to work, legal, and subrogation, regularly and through well-developed action plans to appropriate and timely claim closure.
• Prepare reports for management and properly document all claims work in the FPDR database.
• Perform other duties as assigned.

Requirements

• Experience adjudicating and administering workers' compensation claims, conducting medical and legal case management, facilitating early return to work, and other claims actions to bring claims to appropriate and timely resolution.
• Knowledge of reserving standards.
• Experience conveying complex medical, legal, and technical information to injured workers, medical providers, and other parties to claims verbally and in writing.
• Experience providing excellent customer service in a variety of settings, exercising patience, diagnosing the core problem, discerning the appropriate response, and providing assistance through resolution.
• Ability to understand and interpret legal and medical terminology, medical records, anatomy, and the care and treatment of occupational injuries.
• Ability to understand, interpret, and apply City Charter, Administrative Rules, FPDR policies and procedures, and industry best practices in the adjudication and administration of claims.
• Must have a current active State of Oregon Claims Examiner certification at the time of application.
• Must have a valid State Driver's License and acceptable driving record at the time of hire.

Benefits

• Language Pay Premium Eligible for qualifying employees.
• Union representation through the City of Portland Professional Workers (CPPW).
• Flexible work environment with a commitment to work-life balance.