Claims jobs
At SAIF, the claims team makes a real difference in the lives of others by helping injured workers, our policyholders, and the people of Oregon. In the claims division, empathy governs our work. We always aim to do the right thing. We focus on achieving best outcomes through meaningful on-the-job recovery options; ensuring workers have access to quality health care, physical therapy, and pharmacy services; making accurate and quick decisions whenever possible; and paying and resolving claims in a timely manner.
As part of the claims team, you’ll be supported by an extensive team with vocational consulting, return-to-work consultants, nurse consultants, legal support, investigations, and more.
Careers here have the potential to impact Oregonians in important, meaningful ways. If you want your work to have a sense of purpose, knowing that you are making a difference in the lives of others, consider joining our team of claims professionals.
What we do
SAIF's claims division has a variety of roles. Read on to get an idea of the different types of work we do.
Claims adjuster
As a claims adjuster, you play a vital role in the workers’ compensation process. You are responsible for collecting and analyzing work injury information to make informed and impartial decisions about one of the most important aspects of this job: administering benefits. You will manage claims throughout the entire process until resolution while providing support and guidance to our customers along the way. Here at SAIF, you will work with several internal business partners, including nurse consultants, investigators, return-to-work consultants, in-house attorneys, vocational consultants, and more. In addition, you will collaborate with medical providers throughout the state. Claims adjudication is governed by Oregon administrative rules and statutes. If you are someone who cares about people and takes pride in providing excellent customer service while doing the right thing, this rewarding yet fast-paced job is for you.
Related jobs:
- Senior technical adjuster
- Disability claims adjuster
- Medical-only specialists
Claims assistant
As a claims assistant, your main responsibility will be to support a team of adjusters during the claims process. You will be the primary point of contact for injured workers, policyholders, and other customers, and answering phones will be your top priority. Apart from this, you will also be responsible for various activities, including document review and mailing, appointment scheduling, requesting medical records, legal correspondence, and following up to ensure that our workers receive the appropriate benefits. You will thrive as a claims assistant if you enjoy working in a fast-paced, customer-oriented, and team-focused environment.
Return-to-work consultant
As a return-to-work (RTW) consultant, your main responsibilities are to get injured workers back to work as quickly as medically appropriate. Our consultants work directly with policyholders and medical providers to identify potential light duty work and determine if any modifications are needed. You will create job descriptions and help policyholders ensure they have a return-to-work plan in place. You’ll work closely with state incentive programs, adjusters, policyholders, providers, and workers. If you are a collaborative problem solver with strong communication skills who enjoys actively helping policyholders get their workers back to work, you will thrive as a RTW consultant.
Related jobs:
- Employee-at-Injury Program specialist
- Vocational coordinator
- Employment benefits coordinator
Claims specialist for audit
As a claims specialist on the audit team, you are an important business partner for the claims division as it relates to time-loss rates and authorizations. To accurately pay time-loss benefits to injured workers, you will set the claim’s average weekly wage. With a keen eye for detail, you will review payroll from various policyholders across the state. You will also review claims at closure to ensure time-loss benefits were paid accurately and in a timely manner. Strong teamwork, communication, and organizational skills, and the capacity to process repetitive tasks are needed to succeed in this role.
Related jobs:
- Claims specialist for awards
- Claims specialist for intake
- Claims specialst for permanent total disability (PTD)
- Technical analysts
- Resource analysts
- Claims analysts
Nurse consultant
Our nurse Consultants are an essential resource in the claims division. Their expertise is used to review medical history, treatment plans, and procedures throughout the life of a claim. Using evidence-based resources and objective data, nurse consultants work closely with internal and external business partners, such as Managed Care Organizations, to identify potential barriers and propose strategies that assist with recovery, decision making, and positive outcomes in claims.
Related job:
- Medical auditor
Field investigator
As a field investigator, you’ll specialize in compensability investigations, surveillance, or a combination of both. Questions of compensability, conflicting information in reports, medical questions, and third-party potential may alert our claims adjusters to the need to investigate. As a SAIF investigator, you’ll establish the facts of a claim or help determine when a worker is ready to return to work through information gathering, field investigations, activity checks, surveillance, and third-party investigations. If you are inquisitive and have a high attention to detail, working as a field investigator may be a perfect fit for you.
Related jobs:
- Background investigator
- Special investigations unit
- Investigation specialists
- Investigations assistant
What our employees say
Hear directly from our claims employees about their work.
The claims unit is highly collaborative and works together as one team to problem solve, strategize and mitigate exposures. I admire the willingness to train, support, mentor, and share best practices, really leaning into each other to ensure success. I find great value and meaning in my work being a part of the claims team promoting return-to-work whether through programs such as EAIP/PWP or providing vocational assistance to our injured workers.
– Nicole, senior vocational coordinator
The best part about working at SAIF is that I feel supported in my role as a claims adjuster. I know that everyone is invested in my success and growth.
– Elmer, claims adjuster
If you are looking for a fulfilling place of employment that checks all the boxes it is SAIF. I’ve heard the word “culture” used at other places of employment, but SAIF is the gold standard of what a positive and caring work culture is supposed to look like. You can be your true self and make big contributions to your team, while also making connections to those in all departments.
– Polly, return-to-work consultant
I deeply enjoy my work because I know that it makes an impact in the lives of workers in Oregon. It is a wonderful feeling to be a part of an organization that cares deeply for the workers they serve and the people they employ. I love the culture of teamwork and support here at SAIF.
– Lydia, nurse consultant
I like working in claims because even after all these years, I still regularly see and learn new things. With this job, I get to actively investigate claims, review medical records and apply worker’s compensation laws and regulations. There is never a dull moment.
– Jenifer, claims adjuster
Work with us
The claims division frequently hires for a number of positions, including some not listed above. If you think you'de make a good fit on this team, we invite you to create your profile and submit a resume in Workday.