L&I Workers' Compensation Adjudicator 3

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

Job summary

Join a leading organization as a Workers’ Compensation Adjudicator 3, providing essential support to crime victims. Manage complex claims and ensure compliance with regulations. This bilingual preferred position offers telework options and a commitment to diversity and inclusion.

Benefits

Comprehensive benefits package

Flexible schedules

Teleworking options

Qualifications

• Successful completion of the Workers’ Compensation Adjudicator 2 Apprenticeship program.
• Six months experience as a Workers’ Compensation Adjudicator 2.
• Two years of relevant adjudication experience.

Responsibilities

• Regulate claims for compliance with laws and policies.
• Establish compensation rates for benefits.
• Evaluate ongoing medical/mental health management of claims.

Skills

Bilingual (Spanish)

Customer Service

Claims Adjusting

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

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 candidates are encouraged to apply, as we have multiple vacancies. If hired as bilingual, the 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 a 5% increase in pay.

Role Description

Make a difference for crime victims as our Workers’ Compensation Adjudicator 3. You will provide relief to crime victims and their families or dependents to limit economic hardship. You’ll manage a caseload of complex and catastrophic crime victim compensation claims independently.

Crime types include gross misdemeanor or felony crimes, which may be catastrophic, graphic, sensitive, and traumatic, involving physical and/or mental health injuries from assaults, sexual assaults, vehicular crimes, and homicides. Benefits may include medical treatment, limited wage loss, pension, burial expenses, and counseling services.

Key Responsibilities

• Regulate claims for compliance with RCWs, WACs, case law, policies, and training resources.
• Establish compensation rates for benefits.
• Determine applicable monetary offsets.
• Evaluate ongoing medical/mental health management of claims.
• Respond within 48 hours to inquiries regarding claims and regulations.
• Review for “good cause” and pension considerations, making recommendations accordingly.
• Make decisions on reopening claims.
• Resolve protests by reviewing and obtaining additional information.
• Provide testimony at Board of Industrial Appeal hearings.

Minimum Qualifications

Successful completion of the Department of Labor and Industries Workers’ Compensation Adjudicator 2 Apprenticeship program, or

Six months of experience as a Workers’ Compensation Adjudicator 2, or

Bachelor’s degree and two years of relevant adjudication experience, or

Equivalent education/experience.

This position is bilingual preferred – Spanish. Bilingual candidates who pass HR testing will communicate in both English and Spanish.

Desired Skills

• Experience in claims/insurance adjusting, investigation, or related fields.
• Two years of customer service experience involving decision-making and solutions implementation.
• Ability to navigate multiple computer programs and type at least 40 words per minute with minimal errors.

Additional Information

Teleworking options are available to maintain work-life balance. Initial training will be in-office. The assigned duty station is Tumwater, WA. Telework frequency will be discussed at the time of offer.

To learn more and apply, sign up for job alerts at our website. Submit a cover letter, resume, and references with your application. Do not include medical information or vaccination status in your application.

Background checks, including criminal history, will be conducted prior to employment. Valid driver’s license and insurance are required for travel. This position is represented by the Washington Federation of State Employees.

Benefits and Diversity

We offer a comprehensive benefits package, flexible schedules, and a commitment to diversity, equity, and inclusion. We encourage applications from all backgrounds and are an equal opportunity employer.

Contact

For questions, contact Haleigh Missildine at [e-mail].