L&I Workers' Compensation Adjudicator 4 - Self-Insurance Claims Consultant
Location: Tumwater, Washington
Description: State of Washington is at present recruited L&I Workers' Compensation Adjudicator 4 - Self-Insurance Claims Consultant right now, this occupation will be dwelled in Washington. Further informations about this occupation opportunity kindly read the description below. We have two Workers Compensation Adjudicator 4 (WCA4) vacancies in the Self-! Insurance Claims Appeals, Legal Services section. The WCA 4 reviews and analyzes protests to appealable only orders and appeals to the Board of Industrial Insurance Appeals (BIIA) from decisions involving coverage, extent of entitlement to benefits, jurisdictional matters and other contested decisions to determine if the decisions are factually supportable and legally defensible.
Some of what you will do · Adjudicate claim protests and appeals. Determine if the decisions should be changed, modified, reversed or affirmed. Work to resolve contested cases through negotiations with interested parties to reduce litigation on workers' compensation cases. Negotiate settlement resolution in keeping with the Industrial Insurance Act, Case Law, and established rules of the department (RCW's and WAC's). · Serve as a technical consultant and mentor to employees of the Insurance Services Division based on knowledge of the Industrial Insurance Act and experience in working lit! igated appeals. · Communicate with workers, Self-Insured empl! oyers or legal representatives and physicians concerning individual cases and appropriate application of the Industrial Insurance Act, pertinent rules and policies. Document legal analysis; prepare correspondence, legal orders and other reports. · Serve as "point of contact" assisting the Office of the Attorney General staff as needed in defense of claims appealed to the BIIA, Superior Court or a higher court. · Act as settlement authority for the department in mediation or litigation at the BIIA. Who should apply We seek individuals with a thorough knowledge of RCW's, WAC's, and case law and governing the workers' compensation system. Persons with one year of experience at the Workers’ Compensation Adjudicator 3 level or equivalent experience adjudicating complicated legal issues. Thorough knowledge of RCW’s, WAC’s, and case law governing the workers’ compensation system.†What we are looking for: 1. Analytical skills, demonstrated ability to reason on disputed! claims, provide factual and legal analysis, and exercise judgment in complex cases. 2. Strong writing and documentation skills able to capture/articulate the facts used to formulate their decision to create a legally defensible record of each appeal. 3. Negotiation skills, ability to assess cases, evaluate risks, and negotiate effectively and professionally with parties. 4. Organized able to successfully manage a caseload appropriately prioritizes and concurrently services multiple, long-term case assignments. 5. Strong presentation skills able to present ideas clearly and effectively to diverse audiences 6. Problem Solver, ability to make timely decisions, identifies, and considers alternatives before making a decision. 7. Excel in a team environment, professional, respectful and courteous. Skilled listener, able to understand needs, concerns, and opinions. 8. A bachelor’s degree is desired. In addition to your application, the process requires that you include a cover ! letter/ letter of interest clearly addressing the above section of job ! announcement titled: "Who Should Apply - What we are looking for" to be including in your application package. Please attach these while in the online application process.
Supplemental Information:
This job announcement may be used to fill multiple vacancies 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. Prior to any new appointment into L&I a background check, including criminal record history, will be conducted. To apply, follow the "Apply" link above Jobs advertised as Open Continuous will be closed without notice. It is to your advantage to apply quickly. Only complete applications will be considered. Be sure to answer all supplemental questions. We’re looking for evidence that you have the skills, experience, and abilities indicated in this announcement. Information you provide will be used for deci! ding who'll be selected for the next step in our process. For more information about the Department of Labor & Industries visit: http://www.lni.wa.gov/ OR Contact us at: Jobs@LNI.wa.gov Persons with a disability, who need assistance in the application 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
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to State of Washington.
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This occupation will be started on: Wed, 10 Apr 2013 00:52:57 GMT
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