Capital Region ESD 113 is committed to closing gaps, growing people, influencing change, and eradicating racism through our service to our region and state. BIPOC as well as culturally and linguistically diverse candidates are strongly encouraged to apply.

Sr. Accounting Specialist/Claims Specialist

Best to Apply By: 4/24/25. Job will be open until filled.

This position is 255 days/year, 8 hours/day. This position is a 50/50 split position for a Sr. Accounting Specialist and Claims Technician.

Benefits include Medical/Vision/Dental Insurance; FSA/DCAP; Life/AD&D Insurance; LTD Insurance; EAP; Retirement; DCP; Annual Leave, Sick Leave Holiday Pay and Personal Leave.

Required attachments: Transcript, Resume and Cover Letter

Please see the job descriptions below for a list of Essential Functions and Job Requirements.

Sr. Accounting Specialist Job Description (.50)

Purpose Statement

The job of Senior Accounting Specialist- Business Office is done for the purpose/s of performing responsible technical accounting support functions in the preparation, maintenance and processing of financial or statistical records and reports; providing support for a variety of areas including payroll, benefits services, accounts payable, and accounts receivable.

This job is distinguished from similar jobs by the following characteristics: Per the essential functions and educational requirements listed below.

This job reports to Accounting Coordinator

Essential Functions

Analyzes and interprets policies, laws, regulations, and other material for the purpose of ensuring compliance with Federal regulations, financial requirements and guidelines; collaborates with agency departments to ensure financial compliance and proper accounting of external and internal grant contracts.
Analyzes expenditure trends for the purpose of identifying variances and investigates and reports areas of concern.
Assists in development of yearly budgets for the purpose of determining funding sources for assigned programs.
Assists with preparing financial and statistical reports for the purpose of providing required information and/or ensuring compliance with established procedures.
Collaborates with a variety of personnel and groups for the purpose of making recommendations, providing training, and ensuring compliance with applicable policies, procedures, and legal requirements pertaining to grant and contract funding.
Coordinates with other staff (e.g. data collection, year-end closing, payable/receivables, etc.) for the purpose of completing assigned duties accurately and in a timely manner.
Directs the collection of revenue for assigned programs for the purpose of tracking and collecting outstanding receivables.
Leads monthly program meetings and provides financial reports to the program directors for the purpose of fiscal decision making.
Maintains a wide variety of fiscal information, files and records (e.g. accounts payable, accounts receivable, purchase orders, invoices, billings, budgets, reports, time/travel expenses, etc.) for the purpose of providing an up-to-date reference and audit trail for compliance.
Manages all aspects pertaining to fiscal operations of assigned programs for the purpose of ensuring proper distribution of fiscal work assignments.
Manages the preparation of multiple invoices for recoupment of program expenditures when appropriate for the purpose of proper fiscal recovery.
Monitors documents for accuracy for the purpose of ensuring compliance with Federal, state, and local policies and practices.
Participates in meetings, workshops and seminars as assigned for the purpose of conveying and/or gathering information required to perform functions.
Performs advanced-level accounting, finance and budgeting functions and statistical analysis for the purpose of providing required information and/or ensuring compliance with established procedures.
Performs a variety of general accounting duties including account analysis, classification of costs and charges, reconciliation, and report preparation for the purpose of ensuring compliance with state, Federal, and local regulations.
Prepares a variety of written materials (e.g. memos, invoices, reports, billings, letters, personal action forms, daily/monthly/quarterly/year-end reports, spreadsheets, account codes, budgets, etc.) for the purpose of documenting activities, providing written reference, conveying information and/or complying with financial, legal and administrative requirements.
Prepares and analyzes statistical and financial data (e.g. time sheets, grant information, cost allocations, payroll report information, etc.) for the purpose of providing information for recommendations and budgeting purposes.
Prepares and presents fiscal data for yearly audits and periodic monitoring for the purpose of maintaining accurate and thorough fiscal records.
Processes or provides direction for a variety of fiscal information for the purpose of updating information and/or authorizing final action in compliance with accounting requirements.
Reconciles fiscal information and account balances as assigned (e.g. time and effort tracking, invoices, travel expense vouchers, account codes, eligibility information, etc.) for the purpose of verifying accuracy of information, maintaining accurate balances and complying with accounting practices.
Regular and reliable attendance is required for the purpose of maintaining department operations.
Researches discrepancies of financial information and/or documentation (e.g. billable services through the county, state, and federal billing codes, etc.) for the purpose of ensuring accuracy and adhering to procedures prior to processing for action.
Researches and estimates program level financial impacts related to changes in personnel, funding requirements, regulations, etc. for the purpose of providing information for recommendations and budget planning.
Researches, prepares, and processes contract documents for the purpose of supporting programs.
Responds to inquiries from various internal and external sources for the purpose of providing information, direction and/or appropriate referrals.
Reviews adequacy of administrative safeguards and procedures for the purpose of ensuring protection of financial assets.
Serves as a technical resource to agency staff on a variety of budgeting, accounting, and analytical issues for the purpose of providing information, direction and/or appropriate referrals.
Supports grant post award administration and management (e.g. modifications, payments, funding analysis, deliverables tracking, and grants reporting requirements, etc.) for the purpose of ensuring compliance with Federal, state, and local policies, procedures, and regulations.
Utilizes and works within multiple databases for the purpose of verifying accurate and consistent recorded information.

Marginal Functions

Assists other personnel as may be required for the purpose of supporting them in the completion of their work activities.

Job Requirements: Minimum Qualifications

Skills, Knowledge and Abilities

SKILLS are required to perform single, technical tasks with a need to occasionally upgrade skills in order to meet changing job conditions. Specific skill based competencies required to satisfactorily perform the functions of the job include: operating standard office equipment including using pertinent software applications; performing accounting procedures; and preparing and maintaining accurate records.

KNOWLEDGE is required to perform algebra and/or geometry; read technical information, compose a variety of documents, and/or facilitate group discussions; and solve practical problems. Specific knowledge based competencies required to satisfactorily perform the functions of the job include: accounting/bookkeeping principles; and pertinent codes, regulations, policies and/or laws; treatment billing codes, service limits, taxonomy codes and National Provider Information required for billing insurance providers including new health care reform Title XIX Medicaid and Apple Medicaid Expansion preferred.

ABILITY is required to schedule a number of activities, meetings, and/or events; often gather, collate, and/or classify data; and use job-related equipment. Flexibility is required to work with others in a wide variety of circumstances; analyze data utilizing defined but different processes; and operate equipment using standardized methods. Ability is also required to work with a diversity of individuals and/or groups; work with data of varied types and/or purposes; and utilize job-related equipment. Problem solving is required to identify issues and create action plans. Problem solving with data frequently requires independent interpretation of guidelines; and problem solving with equipment is limited to moderate. Specific ability based competencies required to satisfactorily perform the functions of the job include: adapting to changing work priorities; being attentive to detail; communicating with diverse groups; meeting deadlines and schedules; setting priorities; working with constant interruptions; and working with detailed information/data.

Responsibility

Responsibilities include: working under limited supervision following standardized practices and/or methods; directing other persons within a small work unit; monitoring budget expenditures. Utilization of some resources from other work units is often required to perform the job's functions. There is a continual opportunity to have some impact on the organization's services.

Work Environment

The usual and customary methods of performing the job's functions require the following physical demands: occasional lifting, carrying, pushing, and/or pulling, some stooping, kneeling, crouching, and/or crawling and significant fine finger dexterity. Generally the job requires 80% sitting, 10% walking, and 10% standing. This job is performed in a generally clean and healthy environment.

Experience

Job related experience within a specialized field is required.

Education (Minimum)

Community college and/or vocational school degree with study in job-related area.

Equivalency

Three years' successful experience in bookkeeping and/or accounting field may be considered in lieu of education. Two plus years of federal grant management preferred.

Required Testing

None Specified

Certificates and Licenses

None Specified

Continuing Educ. / Training

None Specified

Clearances

Criminal Background Clearance WA State Sexual Misconduct Disclosure Release

FLSA Status

Non Exempt

Salary Grade

51

Claims Specialist Job Description (.50)

Purpose Statement

The job of Claims Specialist is done for the purpose/s of evaluating eligibility of medical only claims and adjudicating workers' compensation claims in compliance with state RCW and WAC regulations; conveying information regarding medical claims and benefits; supporting loss control services in participating school districts; documenting actions; and providing program support and services consistent with internal practices and procedures.

This job is distinguished from similar jobs by the following characteristics: Per the essential functions and educational requirements listed below.

This job reports to Director - Risk Management or Claims Administrator

Essential Functions

Adjudicates workers' compensation medical only claims (e.g. results of investigations, benefit eligibility, etc.) for the purpose of complying with state statutes, rules, policies, and internal procedures.
Analyzes a variety of claims related information pertaining to eligibility of medical benefits and duration, and anticipated cost of benefits for the purpose of case reserving.
Assesses workers' compensation claims activity for the purpose of identifying barriers to recovery and determining appropriate action for resolution in partnership with Workers' Compensation Claims Administrator or senior level Claims Adjudicators.
Builds and maintains positive relationships with all member districts for the purpose of providing support to help grow the safety culture within the districts through a continued partnership, training tips, and various materials.
Gathers data on various processes, procedures, and loss runs for the purpose of identifying trends.
Maintains workers' compensation claim files and records for the purpose of documenting actions and ensuring compliance with state statutes, rules, policies, and internal procedures.
Regular and reliable attendance is required for the purpose of maintaining department operations.
Responds to questions from district and medical providers for the purpose of facilitating communication among parties and providing information.
Reviews medical only claims on a case-by-case basis for the purpose of identifying areas for safety and health improvements.
Screens requests and coordinates the scheduling of a variety of activities for the purpose of providing services to help meet districts' needs.
Travels off site for the purpose of supporting the needs of the program and participation in professional development training.

Marginal Functions

Assists other personnel as may be required for the purpose of supporting the completion of work activities.
Performs other related duties as assigned for the purpose of ensuring the efficient and effective functioning of work within the unit.

Job Requirements: Minimum Qualifications

Skills, Knowledge and Abilities

SKILLS are required to perform single, technical tasks with a need to occasionally upgrade skills in order to meet changing job conditions. Specific skill based competencies required to satisfactorily perform the functions of the job include: operating standard office equipment; using pertinent software applications; planning and managing case load and special projects; performing standard mathematical calculations; and preparing and maintaining accurate records.

KNOWLEDGE is required to perform basic math, including calculations using fractions, percents, and/or ratios; read a variety of manuals, write documents following prescribed formats, and/or present information to others; and understand complex, multi-step written and oral instructions. Specific knowledge based competencies required to satisfactorily perform the functions of the job include: worker compensation programs; state workers' compensation regulations and laws; medical and legal terminology related to worker's compensation; industrial insurance laws, medical aid rules and fee schedule; and basic anatomy and physiology.

ABILITY is required to schedule a number of activities, meetings, and/or events; often gather, collate, and/or classify data; and consider a variety of factors when using equipment. Flexibility is required to work with others in a wide variety of circumstances; analyze data utilizing defined but different processes; and operate equipment using a variety of processes. Ability is also required to work with a diversity of individuals and/or groups; work with data of varied types and/or purposes; and utilize a variety of types of job-related equipment. Problem solving is required to analyze issues and create action plans. Problem solving with data frequently requires independent interpretation of guidelines; and problem solving with equipment is moderate to significant. Specific ability based competencies required to satisfactorily perform the functions of the job include: communicating with diverse groups; working with frequent interruptions; working with detailed information/data; maintaining confidentiality; establishing effective relationships; adapting to changing work priorities; and thinking critically and executing processes efficiently.

Responsibility

Responsibilities include: working under limited supervision using standardized practices and/or methods; leading, guiding, and/or coordinating others; tracking budget expenditures. Utilization of resources from other work units may be required to perform the job's functions. There is some opportunity to impact the organization's services.

Work Environment

The usual and customary methods of performing the job's functions require the following physical demands: occasional lifting, carrying, pushing, and/or pulling, some stooping, kneeling, crouching, and/or crawling and significant fine finger dexterity. Generally the job requires 70% sitting, 20% walking, and 10% standing. This job is performed in a generally clean and healthy environment.

Experience

Job related experience with increasing levels of responsibility is required.

Education (Minimum)

High school diploma or equivalent.

Equivalency

None specified.

Required Testing

None Specified

Certificates and Licenses

Valid driver's license & insurance coverage as required by law
WA State Self Insurance Certification at the time of hire or enrollment in a comprehensive goal-orientated curriculum within 90 days; achieve certification within two years from hire date

Continuing Educ. / Training

Maintains Certificates and/or Licenses as required and/or needed

Clearances

Criminal Background Clearance WA State Sexual Misconduct Disclosure Release

FLSA Status

Non Exempt

Capital Region ESD 113 is an Equal Opportunity Employer

ESD 113 - Sr. Accounting Specialist/Claims Specialist