L&I Workers' Compensation Adjudicator 3/Case Reserve/Claims State Funded

Full Job Description

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

Please Note: This position is open to current Internal L&I applicants only.

Job Highlights

Are you looking to grow your career in Insurance Services? Put your skills to work in the Case Reserve Unit.

Joining the Case Reserve Unit is a great way to get a unique perspective on important aspects of the department's activities and to build on the knowledge and skills you already have.

As a Workers’ Compensation Adjudicator 3 in Case Reserve, you will learn about claim cost expectancy and how it affects employers' rates.

You will build a network of relationships with other Agency divisions such as Actuaries, Employer Services, Investigations, Third Party, and the Settlement Unit that utilize our case reserves.

With less phone calls and fewer interruptions, our reservists are able to focus on producing quality cost estimates that our customers have come to rely on.

Case Reserve is one of the best places to be a WCA3, and it provides great experience for your career.

Case Reserve is right for you, if you...

• Enjoy learning the story of a claim.
• Like considering the big picture.
• Want to do work that matters? Case reserve helps keep the state fund solvent, ensures employers are rewarded for keeping claim costs down, ensures penalties are accurate to unregistered employers, provides information for negotiations when there is a third party involved, and more.

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers.

We help employers meet safety and health standards and inspect workplaces when alerted to hazards.

As administrators of the state's 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 children's 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 260,000 employers.

Requirements

Some of what you’ll do:

• Perform a thorough file review of all types of state fund claims, extracting information from the claim file to support future cost estimates.
• Interpret medical, vocational and legal information in a claim file to determine future potential costs for individual claims in regards to further medical treatment and vocational services as well as possible pensions.
• Compute an estimated cost for future Time Loss, PPD, Medical, and Vocational Services for the Accident and Medical Aid Funds.
• Document findings to establish an audit trail for the industrial insurance rates.
• Participate in continual improvement efforts to identify issues in case reserving and devise, test, and implement solutions.
• Provide a second set of eyes on claims to assist claim managers (CM) when you identify issues on a claim that the CM may not have seen.
• And much more!

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.

OR

Bachelor's 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.

AND

The ability to take action to learn and grow.

The ability to take action to meet the needs of others.

Desired:

Current L&I employees who have held permanent status as a Workers' Compensation Adjudicator 3 in the workers' or crime victims' compensation insurance program and have experience adjudicating claims (issues orders, resolving protests, paying time-loss, etc.) with exceptional knowledge of RCW Title 51.

Exceptional knowledge of RCW Title 51. Must be able to effectively and professionally communicate information for the purpose of having others learn, understand, and apply specific principles, techniques or information.

Additional 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 employee’s career. Click on the “Benefits” tab to learn more.

At L&I, your voice matters. In addition, L&I is a diverse state agency dedicated to the safety and health and security of Washington's 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 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:

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 driver's license and have insurance if driving a privately owned vehicle on state business.
• This position is represented by the Washington 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 America's 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 Washington's 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&I’s Jobs@lni.wa.gov.

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 agency’s 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 360-902-5700.

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 HRBTU@lni.wa.gov. #LI DNI