WA L&I Claims Manager

Location:

Olympia, WA (In-office)

Type:
Full-time

Pay: $60,000 to $90,000 per year (DOE)

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.

Schedule options are flexible.

Due to rapid growth, we are adding two experienced WA L&I Claims Managers to our Olympia‑based, in‑office team. This is a claims management role where you’ll oversee a portfolio of WA L&I workers’ compensation claims end‑to‑end on behalf of employer clients; it is not a people‑management position.

At Risk Finance, we’re relationship‑oriented and professional, with a high standard for results. We hire strong performers, treat people with respect, and support each other. In this role, you’ll have autonomy, practical resources, and a steady, professional environment where quality work is valued.

• 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)

• Tools:
  Windows, Microsoft Office (Word, Excel, Outlook), direct access to WA L&I claims and employer accounts, and the Gardiant Case Management System.
• Workflow support:
  Standard templates/letter library, internal protocols, and administrative/process support to keep work moving efficiently.
• Coaching and accountability:
  You’ll have clear expectations, regular check‑ins, and support from leadership, while being trusted to manage your desk and priorities.

• Required:
  
  Completion of the WA L&I Claim Manager Apprenticeship (or equivalent).
• Preferred: 5+ years managing WA L&I workers’ compensation claims.
• 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.

• High autonomy and trust
• Strong benefits package with employer‑paid medical coverage
• A respectful, relationship‑oriented team
• Work that directly improves employer outcomes and RTW results
• A role that stays engaging, every claim is different, and your decisions make a measurable difference
• Apply today to join a team that values integrity, expertise, and consistently outstanding results.

Mid‑Senior level

Full‑time

Finance and Sales

Insurance