L&I Workers' Compensation Adjudicator 3 Claim Manager, Claims State Fund

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 Labor & Industries employees only.

Please Note: This announcement represents multiple permanent opportunities.

Job Highlights

At the Department of Labor & Industries our Claims Administration Program plays a vital role in the economic well-being of the state.

We ensure that over 2,330,000 employees receive sure and certain relief through accurate and timely medical and wage replacement benefits for over 163,000 employers.

We work hard to meet our agency's goal in keeping Washington workers safe and working and the Claims Administration program is currently seeking to fill several Workers' Compensation Adjudicator 3 (WCA3) Claim Manager, Claims State Fund, openings.

WCA 3 claims are highly complex claims. Caseloads can include injury, occupational illness, and exposure claims with conditions such as head trauma, with brain involvement, amputations, and burns.

In 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.

Requirements

Some of what you’ll 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.
• Make a decision 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 department's rules and regulations, and the claim adjudication process.

Qualifications

Required:

• Successful completion of the Department of Labor and Industries Workers’ Compensation Adjudicator 2 Apprenticeship program.

AND

• Six months working experience as a Workers’ Compensation Adjudicator 2 (by May 1, 2026.)

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.

Required Equity Competencies:

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

Desired Knowledge, Skills, and Abilities:

• Journey level WCA 2s and/or WCA 3's 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, maintaining the highest levels of confidentiality and professionalism at all times.

Bilingual persons of all languages are encouraged to apply. Bilingual positions include a 5% salary increase for dual language responsibilities.

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 records 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 contributes to the success of the agency mission. Having a diverse workforce is this agency’s 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 360-902-5700.

TTY users should first call 711 to access the Washington Relay Service.

You are welcome to include the name and pronoun(s) 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