L&I Workers' Compensation Adjudicator 3/Pension 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 recruitment is for Internal Washington State Department of Labor & Industries (L&I) employees only

Job Highlights

Do you like numbers? Are you looking for a change?

The Pension Benefit section of Insurance Services Claims Administration is looking for you!

As a member of the Pension Benefit Specialists section, you will manage a caseload of claims involving permanent disability or fatality benefits.

Our top candidate will help the department achieve the overall agency mission by providing timely and appropriate benefits to those who cannot return to work.

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:

• Establish new pensions for claimants and/or their beneficiaries.
• Calculate benefit entitlements and make appropriate adjustments to the claimant, or their eligible beneficiaries.
• Adjust and offset ongoing benefits when a pensioner receives benefits from both the Social Security Administration and the Department of Labor & Industries.
• Participate in quality assurance reviews to ensure appropriate benefits are paid to recipients.
• Provide information and respond to customers about their benefits, how the benefits were calculated, what laws or procedures support the decisions and how our process works.
• Suspend benefits when circumstances are warranted.
• Collaborate with other adjudicators to assist with claim progression and to take action on claims.
• Reinstatement of benefits when appropriate
• 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.

AND

The ability to take action to learn and grow.

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

**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.**

Desired:

Mathematical aptitude to include basic algebra and accounting skills.

Advanced ability to research, analyze facts and apply rules and regulations contained in federal law, state law and department procedures

Presentation and communication skills with the ability to provide testimony in a legal setting in support of departments’ position, decision, and calculations of benefit.

ATTENTION: Consideration will be given to complete applications. In addition to your application, please submit a letter that clearly addresses your experience performing the job duties and your qualifications.

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.

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:

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 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 Jacque Crawford at HRBTU@lni.wa.gov. #LI DNI