L&I Workers' Compensation Adjudicator 3/Case Reservist

Washington State Department of Labor & Industries; Washington (District of Columbia); Hybrid; USD 50,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Workers’ Compensation Adjudicator 3 to join their Case Reserve Unit. This role offers a unique opportunity to enhance your career in Insurance Services while focusing on important aspects of the department's activities. You will be responsible for performing detailed file reviews, interpreting complex information, and computing estimated costs for claims. The position supports a collaborative environment where your insights will contribute to the solvency of the state fund and ensure accurate employer rates. If you are passionate about making a difference in the community and enjoy working with a diverse team, this opportunity is perfect for you.

Benefits

Flexible Work Schedule

Teleworking Options

Generous Retirement Package

Qualifications

• Completion of the Workers' Compensation Adjudicator 2 Apprenticeship program.
• Experience in adjudicating workers' compensation claims.

Responsibilities

• Perform thorough file reviews of state fund claims to support cost estimates.
• Interpret medical and legal information to determine potential costs.

Skills

Communication Skills

Analytical Skills

Attention to Detail

Education

Bachelor's Degree

Workers' Compensation Adjudicator 2 Apprenticeship

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 position is open to current Internal L&I applicants only.

Job Highlights

Are you looking to grow your career in Insurance Services? Put your skills to work in the Case Reserve Unit.

Joining the Case Reserve Unit is a great way to get a unique perspective on important aspects of the department's activities and to build on the knowledge and skills you already have. As a Workers’ Compensation Adjudicator 3 in Case Reserve, you will learn about claim cost expectancy and how it affects employers' rates. You will build a network of relationships with other Agency divisions such as Actuaries, Employer Services, Investigations, Third Party, and the Settlement Unit that utilize our case reserves. With less phone calls and fewer interruptions, our reservists are able to focus on producing quality cost estimates that our customers have come to rely on.

Case Reserve is one of the best places to be a WCA3, and it provides great experience for your career.

Case Reserve is right for you, if you...

• Enjoy learning the story of a claim.
• Like considering the big picture.
• Want to do work that matters? Case reserve helps keep the state fund solvent, ensures employers are rewarded for keeping claim costs down, ensures penalties are accurate to unregistered employers, provides information for negotiations when there is a third party involved, and more.

Some of what you’ll do:

• Perform a thorough file review of all types of state fund claims, extracting information from the claim file to support future cost estimates.
• Interpret medical, vocational and legal information in a claim file to determine future potential costs for individual claims regarding further medical treatment and vocational services as well as possible pensions.
• Compute an estimated cost for future Time Loss, PPD, Medical, and Vocational Services for the Accident and Medical Aid Funds.
• Document findings to establish an audit trail for the industrial insurance rates.
• Participate in continual improvement efforts to identify issues in case reserving and devise, test, and implement solutions.
• Provide a second set of eyes on claims to assist claim managers (CM) when you identify issues on a claim that the CM may not have seen.

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.

Exceptional knowledge of RCW Title 51. Must be able to effectively and professionally communicate information for the purpose of having others learn, understand, and apply specific principles, techniques or information.

Desired:

Current L&I employees who have held permanent status as a Workers' Compensation Adjudicator 3 in the workers' or crime victims' compensation insurance program and have experience adjudicating claims (issues orders, resolving protests, paying time-loss, etc.) with exceptional knowledge of RCW Title 51.

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.

For this position, telework is dependent upon business needs and supervisor approval. The assigned duty station for this position is Tumwater, Washington.

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.

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.

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.

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.