L&I Workers' Compensation Adjudicator 3

State of Washington; Tumwater, Washington (WA, District of Columbia); Hybrid; USD 50,000 - 80,000; Full time

Job summary

Join a forward-thinking agency dedicated to supporting crime victims and their families. As a Workers’ Compensation Adjudicator 3, you will play a pivotal role in managing complex claims, ensuring compliance with legal standards, and providing essential support to those in need. This position offers a unique opportunity to make a meaningful difference in the lives of individuals affected by crime, all while working in a collaborative and inclusive environment. With flexible work options and a commitment to employee well-being, this role is ideal for those passionate about justice and service.

Benefits

Flexible work schedule

Generous retirement package

Telework options

Diversity and inclusion initiatives

Qualifications

• Successful completion of the Workers’ Compensation Adjudicator 2 Apprenticeship program.
• Experience in adjudicating workers’ or crime victims’ compensation claims.

Responsibilities

• Regulate Crime Victim Compensation claims for compliance with laws and policies.
• Evaluate ongoing medical/mental health management of claims.
• Provide testimony at Board of Industrial Appeal hearings.

Skills

Bilingual communication (English/Spanish)

Customer service

Claims adjudication

Legal compliance knowledge

Decision making

Education

Bachelor’s degree

Workers’ Compensation Adjudicator 2 Apprenticeship

Tools

Computer programs

Databases

Word processing software

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

Job Highlights

Please Note: This opportunity is for internal L&I employees only and will be used to fill multiple positions.

This is a bilingual preferred position. Non-bilingual encourage to apply as we have multiple vacancies.If hired as bilingual, our top applicant will be required to pass an assessment of your ability to write and speak Spanish fluently. We do not use translating software. Employees with bilingual responsibilities receive a5%increase in pay.

Make a difference for crime victims as our Workers’ Compensation Adjudicator 3. In this role, you’ll provide crime victims and their family or dependents relief to limit economic hardship to these victims. You’ll provide direct customer service and will independently manage a caseload of complex and catastrophic crime victim compensation claims.

Crime types include gross misdemeanor or felony crimes which may be catastrophic, graphic, sensitive and traumatic in nature and may include physical and/or mental health injury resulting from physical assaults, sexual assaults, vehicular crimes and homicides. Benefits may include paying for medical treatment, limited wage loss, limited pension, burial expenses up to maximum amount, and counseling for the victim, family members of sexual assault and family members of homicide victims.

Some of what you’ll do:

• Regulate Crime Victim Compensation claims for compliance with RCWs, WACs, case law, policies, and training resources in accordance with the Crime Victims Act RCW 7.68 and 7.69.
• Establish rate of compensation for allowed Crime Victim Compensation benefit payments.
• Determine applicable monetary offsets if claimant is eligible for time loss but receiving other monetary benefits from other sources.
• Evaluate ongoing medical/mental health management of claims including treatment, transfer of physician, surgery, diagnostic studies, etc.
• Respond within 48 hours to email and/or telephone inquiries regarding claim information, department rules and regulations and the claim adjudication process.
• Review for “good cause” consideration and makes recommendations if “good cause” is or is not met.
• Review for pension consideration and ensure all required documents are obtained before referring the claim to the Pension Adjudicator.
• Make decisions on requests for reopening of claims.
• Resolve protests by reviewing current information within the claim file and/or obtaining new information in order to resolve the protested issue by issuing further determinative order.
• Provide testimony at Board of Industrial Appeal hearings regarding appealed claims.

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.

This position is bilingual preferred – Spanish. If candidate is bilingual and successfully completes HR bilingual testing, the candidate will communicate with internal and external customers in both English and their bilingual language

Desired:

• Experience in claims/insurance adjusting, claim investigation, paramedical occupation or related field will substitute year for year of education.
• Individuals with two years customer service experience which includes sharing information, making decisions, and implementing solutions.
• Be able to access and move between multiple computer programs, databases, word processing, imaging systems and Internet to enter and update information and type 40 words per minutes accounting for errors.

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 3.3 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 permitted part time. The assigned duty station for this position is Tumwater, Washington.

Initial training will take place in-office/in person up to 4-5 days a week.

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 forGovDeliveryand 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. Acover letterdescribing specific qualifications.
2. A currentresumedetailing 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 atHiring 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 bytheWashington 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 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’[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 Haleigh Missildine (she/her/hers) at [e-mail].