L&I Workers Compensation Adjudicator 2-Employer Services

Washington State Department of Labor & Industries; Washington (District of Columbia); Hybrid; USD 55,000 - 75,000; Full time

Job summary

The Washington State Department of Labor & Industries seeks a WSAW adjudicator to ensure timely wage and expense reimbursements for employers providing light duty work for injured workers. This role involves adjudicating claims, handling sensitive customer interactions, and contributing to the economic wellbeing of the state. Candidates should have a Bachelor’s degree and relevant experience in insurance claims. Teleworking options are available.

Qualifications

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

Responsibilities

• Adjudicate employer reimbursement requests for Stay at Work benefits.
• Respond to difficult situations and communicate effectively with customers.
• Act as a liaison for the Stay at Work program.

Skills

Conflict Management

Flexibility

Initiative

Learning Orientation

Mentoring

Multi-tasking

Process Improvement

Workers’ Compensation Laws

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 that program.
7. And much more!

Minimum qualifications:

• 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.
• A Bachelor’s degree.
• One year of experience in adjudicating workers’ or crime victims’ compensation insurance claims, or adjudication of time loss payments.
• Equivalent education/experience.

Desired skills and attributes:

• Conflict Management: Skillfully handle confrontation and communicate unpleasant options effectively.
• Flexibility: Adapt to change, delays, or unexpected events; work effectively in diverse environments.
• Initiative: Be a self-starter and produce accurate, timely work with minimal supervision.
• Learning Orientation: Proactively develop and upgrade skills and knowledge.
• Mentoring: Collaborate and support others’ success.
• Multi-tasking: Prioritize and handle multiple tasks efficiently.
• Process Improvement: Use project management and problem-solving methods to enhance processes.
• Workers’ Compensation Laws: Administer benefits according to relevant laws, rules, and policies.

Additional information:

Teleworking options are available to help maintain work-life balance, subject to supervisor approval and business needs. The position is based in Tumwater, WA.

Applicants should submit a cover letter, resume, and at least three professional references. Please exclude medical or vaccination information from your application.

Background checks are required prior to employment. Candidates must possess a valid driver’s license and insurance if driving on state business.

This position is represented by the Washington Federation of State Employees (WFSE).

We are committed to diversity, equity, and inclusion, and encourage applicants from all backgrounds to apply.