You’re ready for your next challenge; explore the rewards of public service. This is your opportunity to add value to people’s lives and make a positive difference.

We have multiple Claim Manager – Workers Compensation Adjudicator vacancies. As a Claim Manager you are responsible for independently managing a caseload of medical only and time loss workers’ compensation claims. You will make legally binding decisions regarding injured workers’ entitlements including permanent partial disability awards.

As a Claim Manager – Workers Compensation Adjudicator you will:

Manage a caseload

• Review; adjudicate industrial insurance claims in accordance with the industrial insurance laws, and case law.
• Interpret facts and apply the law in determining claim validity and ongoing adjudicative action, meeting all timeliness expectations.
• Determine need for vocational services, make appropriate referrals, monitor progress and take ongoing actions.
• Make a decision if time-loss compensation is payable, establish initial rate of compensation and if necessary, issue a wage order.
• Respond to liens or other reductions in time-loss compensation benefits according to statute.
• Resolve and communicate decisions made in response to protests.
• Address board and court orders and applications to reopen prior claims.
• Compose medical examination assignments and investigation assignments, legal orders, and letters.
• Close claims appropriately.
  

Provide direct customer service

• Clearly and concisely, talk and correspond with workers, employers, doctors, and attorneys.
• Respond to inquiries regarding claim information, the department’s rules and regulations, and the claim adjudication process.
• Give guidance and counsel lower level adjudicative staff on adjudicative issues.
  

Preferred Qualifications:

A minimum one year of experience as a Workers’ Compensation Adjudicator 2
OR;
Three years of experience as a time loss claim adjuster under Title 51

*Candidate will be hired as a WCA 2 and will serve up to six month in training. After successful completion of the in training program they will be promoted to a WCA 3.

Skills & Abilities

Decision making: Review, adjudicate, and manage Industrial Insurance claims following industrial insurance laws and case law. Apply laws and policies and interpret facts to determine validity and entitlement to benefits.

Customer service: Cooperative, courteous and responsive in all interactions. Addresses customers inquiries promptly; exhibiting integrity, honesty and professionalism.

Communication skills: Good grammar, spelling and writing skills with equally strong verbal and interpersonal communication skills. Effectively communicate with upset customers and use a multi-line telephone, capturing accurate and thorough information from telephone conversations.

Team focused: Open, honest and cooperative work style, ability to give and accept constructive feedback, share information on techniques to encourage team success.

Organized: Effectively prioritize and perform multiple tasks. Meet productivity standards, deadlines and work schedules; working to be efficient in the use of resources, work time, and equipment.

Use a computer: Move between multiple computer programs and the Internet to accurately enter and update information.

Professional: Prompt, dependable maintaining the highest levels of confidentiality and professionalism at all times.

Special Note:

• Prior to any new appointment into L&I, a background check, including criminal record history, will be conducted.
• Employees driving on state business must have a valid driver’s license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately-owned vehicle.
  
  
  

Application Process:

We are looking for evidence that you have the skills and abilities required for this job. The information you provide will be used to decide who will be selected for the next step in the process.

It is to your advantage to provide us with a complete application package, which consists of all the requested items below:

1. Fill out this version of the L&I Employment Application
2. Include a letter of interest describing how you meet the qualification, skills and abilities for this position.
3. Submit a resume (optional)

Send your application materials using one of the following methods:

NOTE: We are unable to accept .ZIP attachments.

Some locations where you may access computer terminals:

• Work Source Centers.
  (See locations at: http://www.wa.gov/esd/work/localconnections.htm)
• Public libraries.
  (See locations at: http://wlo.statelib.wa.gov/libsearch.cfm)
• Department of Personnel, 600 S. Franklin, Olympia, Washington.
  

As a condition of employment the successful candidate accepting this position will be required to comply with the Union Security clause contained in the Collective Bargaining Agreement between the State of Washington and the Washington Federation of State Employees or the Coalition.

Persons with a disability, who need assistance in the application or assessment process, or those needing this announcement in an alternative format, may call (360) 902-9152. Applicants that are deaf or hard of hearing may call through the Washington Relay Service at 7-1-1.

The State of Washington is an Equal Opportunity Employer