L&I Workers Compensation Adjudicator 2-Employer Services

State of Washington; Tumwater, Washington (WA, District of Columbia); On-site; USD 60,000 - 80,000; Full time

Job summary

The State of Washington is seeking a WSAW adjudicator to ensure timely wage and expense reimbursements for employers providing light duty work for injured workers. This journey level position requires a Bachelor's degree and experience in insurance claims. The role involves adjudicating requests, resolving customer issues, and acting as a liaison for the Stay at Work program.

Benefits

Flexible work schedules

Generous retirement package

Telework options

Qualifications

• Successful completion of the Workers’ Compensation Adjudicator 2 Apprenticeship program.
• Three years of experience with insurance claims or paramedical occupations.
• One year of experience in adjudicating workers’ compensation claims.

Responsibilities

• Adjudicate employer reimbursement requests for Stay at Work benefits.
• Resolve stressful situations while assisting customers.
• Act as a subject matter expert for employers on WSAW program.

Skills

Conflict Management

Flexible

Initiative

Learning Orientation

Mentoring

Multi-tasking

Process Improvement

Workers’ Compensation

Education

Bachelor’s degree

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 opportunity is open to Labor & Industries employees only.

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.

Within Insurance Service as a part of the Employer Services area, the Washington Stay at Work (WSAW) adjudicator contributes to the economic wellbeing of the state by ensuring that timely wage and expense reimbursements are paid to State Fund employers who provide medically approved, light duty or transitional work for their injured workers.

The WSAW adjudicator is passionate about the customer experience. This is a journey level position that adjudicates employer reimbursement requests and determines employer eligibility based on criteria established in the Stay at Work (WSAW) statute, rules and policies.

Some of what you’ll do:

1. Adjudicate to include calculation and payment of Stay at Work wage and expense reimbursements, and resolving an assigned workload of requests according to laws, policies and statutes specific to Stay at Work benefits.
2. Respond to difficult, stressful and sensitive situations, effectively communicating unpleasant options, calming and assisting customers.
3. Describe the factors considered in making a decision and their relative importance. Identify and consider alternatives before making a decision.
4. Use customer satisfaction as a key measure, provide products and services that consistently meet or exceed the needs and expectations of customers.
5. Act as a department liaison to internal customers for the Stay at Work program.
6. Is a subject matter expert for employers on how to access the WSAW program and the benefits specific to that program.
7. And much more!

Required:

• Successful completion of the Workers’ Compensation Adjudicator 2 Apprenticeship program.
• Three years of experience working with insurance claims, claims/insurance adjusting, claims investigations, or paramedical occupations.

AND

• A Bachelor’s degree.

AND

• One year of experience in adjudicating workers’ or crime victims’ compensation insurance claims, or adjudication of time loss payments.

OR

• Equivalent education/experience.

Desired:

• Conflict Management: Skillfully and calmly handle confrontation. Successfully communicate unpleasant options, remain calm and assist customers.
• Flexible: Deal with frequent change, delays, or unexpected events. Receptive to new ideas, adapt to new situations and changing conditions. Help others to overcome resistance to change. Work effectively in a diverse work environment.
• Initiative: Motivate and a self-starter. Produce accurate and timely work with minimal supervision.
• Learning Orientation: Self-initiative to develop, upgrade, or adjust knowledge, skills and abilities.
• Mentoring: Collaborate with others to provide information, instruction, feedback, and encouragement to maximize their success.
• Multi-tasking: Prioritize and perform multiple tasks in the same timeframe, handle interruptions and return to incomplete tasks. Meet productivity standards, deadlines and work schedules, efficient in the use of resources, work time, and equipment.
• Process Improvement: Use project management (Lean) and problem-solving methods to improve processes.
• Workers’ Compensation: Administer benefits using Washington’s workers’ compensation laws, (Revised Code of Washington Title 51), Medical Aid Rules (Washington Administrative Code 296), Claims Administration Policies and Procedures, and case law.

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.

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 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 [e-mail].

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 [e-mail].