L&I Workers' Compensation Adjudicator 4Claim Lead, State Fund

Our Mission:Keep Washington Safe and Working!
Our Values: Customer Focus One L&I Respect Diversity Equity and Inclusion Learning and Growth Reliability

Job Highlights

Are you seeking the opportunity to share your experience As a Claim Lead you will perform quality review of adjudicative actions to ensure actions are based on laws rules policies and established work standards and provide ongoing training and coaching. Claim Leads are passionate about the customer experience. Under the direction of the unit supervisor Claim Leads monitor and coordinate the day-to-day operations of a claim unit.

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety health and security of Washingtons workers. We help employers meet safety and health standards and inspect workplaces when alerted to hazards. As administrators of the states workers compensation system we are similar to a large insurance company providing medical and limited wage-replacement coverage to workers who suffer job-related injuries and illness. Our rules and enforcement programs also help ensure workers are paid what they are owed that childrens and teens work hours are limited and that consumers are protected from unsound business practices.

Insurance Services is the largest division within the agency and administers one of the premier workers compensation organizations in the nation serving over 3.8 million employees working for 260000 employers.

Some of what youll do:

• Serve as a lead staff member of a claim unit and primary point of contact and technical resource for the supervisor and Claim Managers on complex claim actions work processes computer applications document management and claims management resources.
• Coach and mentor Claim Managers Apprentices and Trainees ensuring compliance of production and quality standards. Motivate and encourage Claim Managers to meet and exceed performance goals.
• Ensure compliance with established work standards and provide documented feedback regarding employees performance to supervisor coach and employee.
• Manage a caseload of claims varying in complexity.
• Respond to inquiries made to elected officials agency director and/or manager regarding specific claims or workers compensation issues.
• Work on special projects; participate in work-process improvement teams. Serve on committees and other duties as assigned.
• And much more!

Required:

Successful completion of the Department of Labor and Industries Workers Compensation Adjudicator 2 Apprenticeship program AND one year of experience as a Workers Compensation Adjudicator 3.

OR

Bachelors degree AND three years of experience in adjudication of time-loss payments in a workers or crime victims compensation insurance program.

OR

Equivalent education/experience.

** Additional experience working with insurance claims claims/insurance adjusting claims investigations disability management claims risk management/loss control medical billing medical insurance paralegal personal injury services or paramedical occupations will substitute year for year for required education.

AND

Desired:

• One year of experience managing a caseload of complex claims at the WCA 3 level.
• Subject matter expert in adjudication collaborate and provide information instruction feedback and encouragement to maximize claims managers success.
• Provide services and work that exceeds the customer expectation at every interaction and find new ways to improve customer service and productivity.
• Contribute to the recognition of cohesion team development and productivity.
• Accepting of frequent changes delays and unexpected. Receptive to new ideas and adapt to new situations and changing conditions.
• Identify and solve problems efficiently include appropriate people in decision-making process and consider impacts of decisions on others.
• Skillfully and calmly handle confrontation. Respond to difficult situations in ways that minimize potential conflict.
• Efficient effective use of time and meet productivity standards and deadlines.
• Proficient use of Microsoft office web browsers and other application. Use two monitors to access and move between multiple programs.
• Spanish Bilingual persons are encouraged to apply (If hired as bilingual our top applicant will be required to pass an assessment of your ability to write and speak Spanish fluently. We do not use translating software. Employees with bilingual responsibilities receive a 5% increase in pay.)

Things You Need To Know

To help you maintain a proper work-life balance teleworking is one of the work schedule options for this position. L&I also offers flexible custom work schedules.

State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employees career. Click on the Benefits tab to learn more.

At L&I your voice addition L&I is a diverse state agency dedicated to the safety and health and security of Washingtons 3.8 million workers. Take a look at this brief video and learn more about why L&I is an employer of choice.

For this position telework is dependent upon business needs and supervisor approval. The assigned duty station for this position is Tumwater Washington.

For positions where in-office work is necessary the frequency of telework will be discussed with the supervisor of the position at the time of offer.

To receive more information on opportunities at L&I sign up forGovDeliveryand select L&I job alerts.

Application process

We will contact the top candidates directly to interview for this position. Because we base the selection on information provided by you it is in your best interest to identify the knowledge skills and abilities that address the required and desirable qualifications described in the announcement.

Please include the following documents with your application:

Please do not attach or place any medical information (vaccination status included) within the application resume or cover letter. If you do we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again.

To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at Hiring Process at L&I. If you would like to read our website in a language other than English scroll up to the top of the page to select your language of choice from the banner.

Background Check Notice:

Prior to a placement in this position a background check including criminal history record will be conducted. Information from your background check will not necessarily preclude employment but will be considered in determining your eligibility to perform the requirements of the position.

Other information

Did You Know

Washington is Americas Top State to live play and work according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer.

In addition to offering a positive balance between life and work L&I provides one of the most competitive benefits packages in the also believe your voice matters. We value our employees and their work-life balance by encouraging flexible schedules.L&I is a diverse state agency dedicated to the safety and health and security of Washingtons 3.8 million workers.

Veterans Preference

Applicants wishing to claim Veterans Preference should attach to their application a copy of their DD-214 (Member 4 copy) NGB 22 or signed verification of service letter from the United States Department of Veterans Affairs. Please blackout any personally identifiable data such as Social Security numbers. For further information contact L&Is.

Diversity Equity and Inclusion Employer

L&I employees come from all walks of life. We strive to hire great people from a wide variety of backgrounds. All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity or expression sexual orientation national origin genetics disability age or veteran status.

We believe in the importance of recognizing the value each of us contribute to the success of the agency mission. Having a diverse workforce is this agencys greatest resource of strength and knowledge. It is through the combination of talents and abilities that we can pursue finding effective measures to provide the best customer service.We are committed to building a diverse and inclusive workplace for everyone and we strongly mean everyone.

The State of Washington is an equal opportunity employer. Persons with a disability who need accommodation in the application process or testing process or those needing this announcement in an alternative format may call . TTY users should first call 711 to access the Washington Relay Service.

You are welcome to include the name and pronoun you would like to be referred to in your materials and we will honor this as you interact with our award-winning diverse and inclusive organization.

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