L&I Workers' Compensation Adjudicator 3Claim Manager
Job Location:
Tumwater, WA - USA
Yearly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
- Description
Our Mission:Keep Washington Safe and Working!
Our Values: Customer Focus One L&I Respect Diversity Equity and Inclusion Learning and Growth ReliabilityPlease Note: This position is open to Internal L&I applicants only.
In the Department of Labor & Industries Claims Administration Program the Workers Compensation Adjudicator 3 (Claim manager) reporting to the Claim Unit Supervisor independently manages a caseload of State Fund workers compensation claims filed as a result of work-related injury or occupational illness. The claim manager contributes to the economic well-being of the state by ensuring that injured workers receive sure and certain relief (timely accurate medical and wage replacement benefits). Washingtons State Fund insures 2.7 million employees working for 203000 employers.
We work hard to meet our agencys goal in keeping Washington workers safe and working and the Claims Administration program is currently seeking to fill several Workers Compensation Adjudicator (WCA) 3 (Claim Manager) openings. WCA 3 claims are high complexity claims. Caseloads can include injury occupational illness and exposure claims with conditions such as head trauma with brain involvement amputations and addition to injuries from violent crimes occupational and post-traumatic stress hearing loss multiple complex fractures severe psychiatric conditions electric shock respiratory conditions heart and cardiovascular conditions complex regional pain syndrome pension claims with treatment orders claims over seven years old and with five or more years of time loss compensation.
- Duties
Some of what youll do:
- Manage a caseload; review and adjudicate industrial insurance claims in accordance with the industrial insurance laws and case law.
- Interpret facts and apply the law in determining claim validity and ongoing adjudicative action meeting all timeliness expectations. Determine need for vocational services make appropriate referrals monitor progress and take ongoing actions.
- Decide if time-loss compensation is payable establish initial rate of compensation and if necessary issue a wage order. Respond to liens or other reductions in time-loss compensation benefits according to statute.
- Resolve and communicate decisions made in response to protests. Address board and court orders and applications to reopen claims. Compose medical examination assignments and investigation assignments legal orders and letters.
- Provide direct customer service. Respond to inquiries regarding claim information the departments rules and regulations and the claim adjudication process.
- Prepare a variety of claim file correspondence such as letters legal orders and secured messages.
- Compose investigation assignments.
- Mentor lower-level adjudicators and new level 3 adjudicators to use independent judgement to manage claims using RCWs WACs policies case law and department resources.
- Qualifications
Required:
Successful completion of the Department of Labor and Industries Workers Compensation Adjudicator 2 Apprenticeship program.
AND
Six months of experience as a Workers Compensation Adjudicator 2 by September 1 2026.
OR
Bachelors degree
AND
Two years of experience in adjudicating workers or crime victims compensation insurance claims or adjudication of time loss payments.
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.Required Equity Competencies:
- The ability to take action to learn and grow.
- The ability to take action to meet the needs of others.
Journey level WCA 2s and/or WCA 3s who have excelled in their current jobs can work well with the team and get up to speed quickly.
Advanced ability to research analyze facts mathematical calculations and apply rules and regulations contained in federal law state law and department procedures.
Motivated self-starters who take initiative and who continually develop and upgrade their knowledge skills and abilities.
Write clear concise accurate and informative correspondence and reports.
Proficient use of Microsoft office web browsers and other applications. Use dual monitors to access and move between multiple programs.
Demonstrated analytical thinking and decision-making skills and abilities.
Individuals who can create and sustain a Customer Centered team and work environment; cooperative courteous and responsive in all interactions.
Organized effectively prioritize and perform multiple tasks.
Meet productivity standards deadlines and work schedules; working to be efficient in the use of resources work time and equipment.
Professional prompt dependable always maintaining the highest levels of confidentiality and professionalism.- Supplemental Information
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 3.3 million workers. Take a look at thisbrief videoand 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 for GovDelivery and 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:
- Acover letter describing specific qualifications.
- A currentresume detailing applicable experience and education.
- A list of at least three professional references with current telephone numbers.
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 atHiring 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
- A job offer is contingent upon completion of a background check that includes a criminal record review.
- For positions requiring travel you must have a valid unrestricted drivers license and have insurance if driving a privately owned vehicle on state business.
- This position is represented bytheWashington Federation of State Employees (WFSE).
- Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
- The Department of Labor & Industries complies with the employment eligibility verification requirements of the federal employment eligibility verification form I-9. The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form on the first day of employment.
- Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions.
Did You Know
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 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 contributes to the success of the agency mission. Having a diverse workforce is this agencys greatest source 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.
For more Information
If you have any questions regarding this job posting program or the agency please contact Elena Emery at.
Required Experience:
Manager
