L&I Workers Compensation Adjudicator 2-Employer Services

State of Washington; Washington (District of Columbia); Hybrid; USD 50,000 - 70,000; 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 role involves adjudicating requests, managing customer interactions, and ensuring compliance with state laws. A Bachelor’s degree or equivalent experience is required, along with strong conflict management and multi-tasking skills. Telework options and a generous benefits package are available.

Benefits

Flexible work schedules

Generous retirement package

Qualifications

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

Responsibilities

• Adjudicate Stay at Work wage and expense reimbursements.
• Resolve customer inquiries and communicate options effectively.
• Act as a liaison for the Stay at Work program.

Skills

Conflict Management

Flexible

Initiative

Learning Orientation

Mentoring

Multi-tasking

Process Improvement

Workers’ Compensation

Education

Bachelor’s degree

Workers’ Compensation Adjudicator 2 Apprenticeship program

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:

• 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.
• Respond to difficult, stressful and sensitive situations, effectively communicating unpleasant options, calming and assisting customers.
• Describe the factors considered in making a decision and their relative importance. Identify and consider alternatives before making a decision.
• Use customer satisfaction as a key measure, provide products and services that consistently meet or exceed the needs and expectations of customers.
• Act as a department liaison to internal customers for the Stay at Work program.
• Be a subject matter expert for employers on how to access the WSAW program and its benefits.
• 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.

OR

• A Bachelor’s degree.
• 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: Motivated 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, handle interruptions, and return to incomplete tasks. Meet deadlines and work schedules efficiently.
• Process Improvement: Use project management (Lean) and problem-solving methods to improve processes.
• Workers’ Compensation: Administer benefits using Washington’s workers’ compensation laws, rules, policies, procedures, and case law.

Things You Need To Know

To help you maintain a proper work-life balance, teleworking is an option for this position. L&I also offers flexible work schedules.

State employees who meet the qualifications will be eligible for a generous retirement package. Click on the “Benefits” tab to learn more.

At L&I, your voice matters. Watch this brief video to learn more about why L&I is an employer of choice.

Telework depends on business needs and supervisor approval. In-office work may be required, and the frequency of telework will be discussed at the time of offer.

The duty station for this position is Tumwater, Washington.

To receive more information about opportunities at L&I, sign up for GovDelivery and select L&I job alerts.

Application process

We will contact top candidates directly for interviews. Please ensure your application highlights your knowledge, skills, and abilities related to the required and desirable qualifications.

Please include with your application:

1. A cover letter describing your qualifications.
2. A current resume detailing your experience and education.
3. At least three professional references with current phone numbers.

Do not include medical information or vaccination status in your application to protect your confidentiality. Remove such information before reapplying if necessary.

For more about our hiring timeline, visit our Hiring Process at L&I. To view this announcement in another language, select your preferred language from the top banner.

Background Check Notice:

A background check, including criminal history, will be conducted prior to placement. This information will be considered in your eligibility for the position.

Other information

• Travel requirements: Valid driver’s license and insurance if using a private vehicle.
• This position is represented by the Washington Federation of State Employees (WFSE).
• Applicants must have work authorization that does not require future sponsorship.
• The agency complies with I-9 employment verification requirements. You must provide proof of identity and work eligibility.
• This announcement may be used to fill multiple positions, permanent and/or non-permanent.

Did You Know?

Washington is considered America's Top State to live, work, and play. Join L&I and enjoy all the Evergreen State offers.

We offer a positive work-life balance, competitive benefits, and value diversity and inclusion. We are committed to building an inclusive workplace for everyone.

The State of Washington is an equal opportunity employer. Persons with disabilities needing accommodations should contact 360-902-5700 or TTY 711.

You may include your preferred name and pronouns in your application materials.

For more Information

Questions? Contact [e-mail].