WA State- L&I Claims Manager

Redpoint Claims- L&I Claims Management • Olympia, WA • 3h ago

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

About Red Point Claims

At Red Point Claims, 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.

Key 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 leadership: 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.

File ownership: Keep your portfolio organized and moving forward through proactive planning, timely follow-up, and clear client updates.

Portfolio Expectations

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 and Workflow Support

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 Experience and Skills

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.

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