L&I Workers' Compensation Adjudicator 4/Claim Lead, State Fund jobs in United States
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NEOGOV · 16 hours ago

L&I Workers' Compensation Adjudicator 4/Claim Lead, State Fund

NEOGOV is part of the State of Washington's Department of Labor & Industries, dedicated to the safety and health of workers. The Claim Lead will perform quality reviews of adjudicative actions, ensure compliance with laws and standards, and provide training and mentoring to staff.

GovTechHuman ResourcesInformation TechnologySoftware
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Responsibilities

Serve as a lead staff member of a claim unit and primary point of contact and technical resource for the supervisor and Claim Managers on complex claim actions, work processes, computer applications, document management, and claims management resources
Coach and mentor Claim Managers, Apprentices, and Trainees ensuring compliance of production and quality standards. Motivate and encourage Claim Managers to meet and exceed performance goals
Ensure compliance with established work standards and provide documented feedback regarding employees' performance to supervisor, coach, and employee
Manage a caseload of claims varying in complexity
Respond to inquiries made to elected officials, agency director, and/or manager regarding specific claims or workers' compensation issues
Work on special projects; participate in work-process improvement teams. Serve on committees and other duties as assigned

Qualification

Workers' Compensation Adjudicator 2Adjudication of time-loss paymentsClaims managementMicrosoft Office proficiencySpanish bilingualCoachingCustomer serviceMentoringProblem-solvingTime management

Required

Successful completion of the Department of Labor and Industries Workers' Compensation Adjudicator 2 Apprenticeship program AND one year of experience as a Workers' Compensation Adjudicator 3
OR
Bachelor's degree AND three years of experience in adjudication of time-loss payments in a workers' or crime victim's compensation insurance program
OR
Equivalent education/experience
Additional experience working with insurance claims, claims/insurance adjusting, claims investigations, disability management, claims risk management/loss control, medical billing, medical insurance, paralegal personal injury services or paramedical occupations will substitute, year for year, for required education
The ability to take action to learn and grow
The ability to take action to meet the needs of others

Preferred

One year of experience managing a caseload of complex claims at the WCA 3 level
Subject matter expert in adjudication, collaborate and provide information, instruction, feedback and encouragement to maximize claims managers success
Provide services and work that exceeds the customer expectation at every interaction and find new ways to improve customer service and productivity
Contribute to the recognition of cohesion, team development and productivity
Accepting of frequent changes, delays and unexpected. Receptive to new ideas and adapt to new situations and changing conditions
Identify and solve problems efficiently, include appropriate people in decision-making process and consider impacts of decisions on others
Skillfully and calmly, handle confrontation. Respond to difficult situations in ways that minimize potential conflict
Efficient, effective use of time and meet productivity standards and deadlines
Proficient use of Microsoft office, web browsers, and other application. Use two monitors to access and move between multiple programs
Spanish Bilingual persons are encouraged to apply (If hired as bilingual, our top applicant will be required to pass an assessment of your ability to write and speak Spanish fluently. We do not use translating software. Employees with bilingual responsibilities receive a 5% increase in pay.)

Benefits

Medical (including vision), dental and basic life insurance
Medical flexible spending account
Basic life and long-term disability insurance
Dependent care assistance
Washington State Employee Assistance Program
Washington Public Employees' Retirement System (PERS)
Deferred Compensation Program (DCP)
Public Service Loan Forgiveness
Paid holidays and one paid personal holiday
Sick leave
Vacation (annual leave)
Military leave
Bereavement leave
Leave Sharing
Parental Leave
Family and Medical Leave Act (FMLA)
Leave Without Pay

Company

NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.

Funding

Current Stage
Late Stage
Total Funding
$700M
Key Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity

Leadership Team

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Shane Evangelist
CEO
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Brandon McDonald
Head Of Marketing
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Company data provided by crunchbase