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State of Washington

INDUSTRIAL INSUR NEW APPEALS SUPV

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INDUSTRIAL INSUR NEW APPEALS SUPV
425Q
Abolished Date: 2015-08-14

Definition

Supervises New Appeals Specialist staff and examines and researches new appeals filed with the Board of Industrial Insurance Appeals and determines the Board's jurisdiction to hear the appeals.  Prepares initial appeal files and a statement of the historical and jurisdictional facts relating to the appeals. 

Typical Work

Assigns, instructs and checks the work of the New Appeals Specialists; Interviews and recommends selection of applicants; Monitors distribution of appeals caseloads to New Appeals Specialists; Acts upon leave requests;  

Responds to and inquiries regarding case procedures, resolves problems and defines timeliness issues for New Appeals Specialists; 

Conducts performance evaluations; Establishes work unit procedures, standards, priorities, and deadlines and coordinates work unit operations; Recommends corrective/disciplinary actions; 

Attends meetings on behalf of workgroup; 

Trains and orients new New (sic) Appeals Specialists;  

Independently researches documents filed with the Board and Department of Labor and Industries’ case files to determine the Board’s jurisdiction to hear the appeal; Processes new appeals and letters of protest; 

Exercises independent judgment in distinguishing and identifying protests and appeals; assigns docket numbers to all new appeals cases received; 

Informs appellants of necessary amendments/changes to be file with the agency; 

Prepares orders granting or denying appeals within thirty-day statutory time limits, or exercises discretionary extensions when necessary; 

Researches case to determine interested parties, appropriate hearing locations, issues on appeal and relief sought; 

Prepares initial hard copy file of all new appeals for the Industrial Appeals Judges; 

Researches microfiche documents to prepare original files and historical/jurisdictional fact sheets; 

Performs other duties as required.

Knowledge and Abilities

Knowledge of:  supervisory principles, data processing and microfiche equipment; statutes, case law and regulations concerning industrial insurance, industrial safety and health and crime victim compensation; medical and legal terminology. 

Ability to: effectively supervise, direct, train and instruct others; set work priorities; operate computer, microfiche and word processing equipment; interpret complex statutes, rules and procedures and assure their consistent application in determining jurisdictional authority; write clear, concise, and accurate correspondence and reports; establish and maintain effective working relationships with management, peers, claimants, physicians, attorneys, other employees, and the public.

Legal Requirement(s)

There may be instances where individual positions must have additional licenses or certification. It is the employer’s responsibility to ensure the appropriate licenses/certifications are obtained for each position. 

Desirable Qualifications

Three years of experience in claim investigation or industrial insurance claims management at the administrative level or as a Legal Secretary.   

OR 

Graduation from an accredited 2-year paralegal or legal assistant program and one year of experience in claim investigation or industrial insurance claims management at the administrative level or as a Legal Secretary.  

OR

One year of experience as an Industrial Insurance New Appeals Specialist.

OR 

AA degree including at least 20 semester or 30 quarter hours of paralegal course work and one year of experience in claim investigation or industrial insurance claims management at the administrative level or as a Legal Secretary.   

Additional education will substitute, year for year, for experience provided that the 20 semester or 30 quarter hours of paralegal course work is included.

Class Specification History

New class: 12-10-98
Salary adjustment, revised class code (formerly 09985), revised definition and title; adopted May 10, 2007, effective July 1, 2007.

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