Risk Finance - L&I Claims Management · 11 hours ago
Claims Manager
Olympia, WA
Full-time
Onsite
Entry, Mid Level
$60K/yr - $90K/yr
2+ years expRedpoint Claims is a professional company specializing in L&I claims management. They are seeking two experienced WA L&I Claims Managers to oversee a portfolio of workers' compensation claims, ensuring compliance with industrial insurance law and providing guidance to employers.
Financial ServicesInsurance
Hiring Manager
Brandon S.
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
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
Preferred
2+ years managing WA L&I workers' compensation claims
Benefits
Profit share option
100% employer-paid Health, Dental, Vision, and Life insurance (including Long-term Care)
401(k) with 2% employer match
Generous and flexible PTO
Paid holidays
High level of autonomy
Relaxed atmosphere
Company
Risk Finance - L&I Claims Management
You pay a premium to L&I in order to insure you and your employees against workplace accidents.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase