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Risk Finance · 1 day ago

WA L&I Claims Manager

Olympia, WA

Full-time

Onsite

Mid, Senior Level

$60K/yr - $90K/yr

5+ years exp

Risk Finance - L&I Claims Management is seeking experienced WA L&I Claims Managers to join their Olympia-based team. In this role, you will oversee a portfolio of WA L&I workers’ compensation claims, ensuring compliance with industrial insurance law and providing guidance to employers.

Financial ServicesInsurance

Responsibilities

Claim review: Review WA L&I claims to ensure medical treatment, time loss compensation, vocational services, and PPD awards are appropriate and comply with industrial insurance law and the facts of the claim

Issue resolution: Contact and coordinate with appropriate parties to resolve claim issues, including the attending physician, consulting doctors, employer, injured worker, vocational counselor, WA L&I claims manager, and others

Dispute strategy: Submit timely, well-supported written protests and/or appeals to any decision or benefit paid by L&I that does not comply with industrial insurance law or the facts of the claim. Track deadlines and maintain strong documentation

RTW coordination: Assist employers in developing light-duty return-to-work programs and making light-duty job offers

Client guidance: Explain WA industrial insurance law and L&I requirements clearly to employers

Appeals support/representation: Prepare for and represent employer interests in appeals (including BIIA-related matters) consistent with applicable rules and internal protocols, up to and including mediation

Case Load Ownership: Keep your case load organized and moving forward through proactive planning, timely follow-up, and clear client updates and communication

Work mix varies by portfolio and can include: Protests and appeals (issue spotting, drafting, deadline tracking, evidence organization)

Active claim management and coordination (medical, time loss, vocational services, PPD)

Return-to-work and light-duty support (job analyses, offers, documentation)

Provider and stakeholder communication (attending physicians, consulting doctors, vocational counselors, WA L&I staff, employers, workers)

Strategy and documentation (file reviews, summaries, employer recommendations, client updates)

Qualification

WA L&I Claim Manager ApprenticeshipWashington industrial insurance law5+ years claims managementMicrosoft Office proficiencyCustomer service standardsPersonal organizationTask prioritizationVerbal communication

Required

Completion of the WA L&I Claim Manager Apprenticeship (or equivalent)

Proficiency with Windows and Microsoft Office (Word, Excel, Outlook)

Ability to write professional letters using appropriate spelling, grammar, punctuation, and format

Strong working knowledge of Washington industrial insurance law and WA L&I policies, with the ability to apply it efficiently to claim management decisions

Strong verbal communication skills and high customer service standards

Strong personal organization and follow-through, with the ability to manage a high-volume desk, meet deadlines, and keep work moving without constant reminders

Ability to prioritize multiple tasks, organize workload, and meet deadlines