L&I Workers Compensation Adjudicator 4, Unit Lead

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

The Department of Labor and Industries is seeking a Workers Compensation Adjudicator 4 (WCA4) Unit Lead to join our team and contribute to the economic well-being of the state by providing impartial oversight and expert services to the self-insured community. You would also work to help reduce economic hardship to injured workers and self-insured employers by adjudicating benefit requests.

You would act as a technical resource to the Unit Claims Supervisor Unit Staff and the Self-Insured community on complex protests made by injured workers physicians self-insured employers or their attorneys. You would also make recommendations to the Director for discretionary items and perform quality reviews of adjudicative actions of internal staff to ensure decisions are based on rules regulations and laws.

This opportunity will require the incumbent to demonstrate strong capabilities with problem solving decision making independent research and gathering information time- management organizational skills oral and written communication and mentoring skills.

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:

• Manages and adjudicates a caseload of complex protests made by injured workers physicians self-insured employers or their attorneys from decisions involving entitlement to benefits jurisdictional matters and contested determinations.
• Issues legal orders resolving protests and composes letters of explanation.
• Coach and mentors unit claim managers including trainees to ensure compliance of production and quality standards.
• Acts a technical resource for the claims unit.
• Responsible for preparing briefing papers for the Director to make decisions for benefits on Over-Seven re-opening applications and requests for Waiver of Overpayments.
• And much more!

Bachelors degree AND Three (3) years of experience in adjudicating workers or crime victims compensation insurance claims or adjudication of time-loss payments

OR

Successful completion of the Department of Labor and Industries Workers Compensation Adjudicator 2 Apprenticeship programANDOne (1) year of experience as a Workers Compensation Adjudicator 3

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

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Desired:

• Ability to manage time prioritize work to best accomplish the workload and manage the work schedule.
• Excellent written and verbal communication skills.
• Must have ability to apply critical reasoning skills.
• Receptive to change and adaptable to new situations and processes.
• Ability to effectively communicate with and assist difficult people.
• Be a team player with a positive attitude and ability to build rapport.
• Skilled in using personal computers and software i.e. MS Word and EXCEL.

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.

Telework is dependent upon business needs and supervisor approval. 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.

The assigned duty station for this position is Tumwater Washington.

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:

1. A cover letter describing specific qualifications.
2. A current resume detailing applicable experience and education.
3. 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 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

• 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

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 nation. We 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.

For more Information

If you have any questions regarding this job posting program or the agency please contact the .