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Governing for Results 13 - Washington State Digital Archives

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Department of Labor and Industries<br />

Timely Resolution of Wage-Replacement Claims<br />

The Region 5 field claims unit was given a goal of appropriately resolving wagereplacement<br />

issues on 450 claims in a three month period. Doing so would help<br />

Department of Labor and Industries (L&I) meet it’s mandate from the Legislature<br />

<strong>for</strong> a 7.5% reduction in the time loss duration index, which incorporates the<br />

number of claims, how long those claims remain open, the levels of benefits and<br />

the amount of benefits paid.<br />

Region 5 made several process changes that helped to reach that goal. One<br />

example: Vocational service consultants started taking all calls from private<br />

vocational counselors and handling any vocational issues that arise on a claim.<br />

The effect was to give the claims unit more time to resolve claims. Another<br />

example: Risk management services began targeting employers with high injury<br />

rates and offering consultation services to those employers, with one of the goals<br />

being to get employers’ participation in getting people back to work.<br />

<strong>Results</strong><br />

★ Resolved wage-replacement issues on 480 claims, exceeding the team goal<br />

by 7%.<br />

★ Increased the unit’s productivity on wage-replacement claims by 103%<br />

compared to the baseline.<br />

★ Successful teaming of claims, vocational and risk management programs.<br />

★ On average, vocational service consultants made available an 8% increase in<br />

hours per week <strong>for</strong> the claims unit to manage claims - almost 2,000 hours per<br />

year.<br />

Team Members: Jeanette Newkirk (Lead), Mary Garza, Raquel Garza, Ruby<br />

Gonzalez, Maria Cruz Guzman, Maria Jimenez, Kelli Kashishian, Julie<br />

Rodriguez, Stephanie Snell, Steven Yunker, Leticia Zesati, Roy Callahan, Norma<br />

Martinez, Annabea Alvarado, Manuel Heredia, Jack Patton, Barbara Pyle<br />

(Consultant)<br />

CONTACT: Barbara Pyle, (509) 886-6564<br />

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