Workers Compensation Adjuster
About The Position
The City of Virginia Beach Finance department’s Risk Management division is seeking a Workers Compensation Adjuster to help protect City resources. The position handles workers’ compensation claims, including reviewing injury and illness reports, investigating claims, determining liability under the Workers’ Compensation Act, auditing medical and prescription bills, and authorizing benefit payments. The adjuster also conducts training and department meetings, maintains claims files, and submits required documents to the Industrial Commission of Virginia. The position is hybrid eligible, with three days in the office and two days working from home. The role is scheduled for 40 hours per week and may require additional hours in response to short-term departmental needs or City-wide emergencies.
Requirements
- Five years of combined education above high school and/or experience equivalent in fields using the required knowledge, skills, and abilities, associated with positions such as a claims adjuster handling workers’ compensation claims for an insurance company, claims service company, or self-insurer.
- Knowledge and skills in Workers’ Compensation.
- May be expected to work beyond normally scheduled hours in response to short-term department needs and/or City-wide emergencies.
Nice To Haves
- Knowledge and experience handling Workers’ Compensation claims in Virginia.
- Experience working with a third-party administrator and attorneys.
- Experience using investigative techniques to interview employees.
- Experience working in public-sector risk management for a self-insured entity.
- Bachelor’s degree from an accredited college or university.
Responsibilities
- Review reports of occupational injuries and illnesses for accuracy and completeness.
- Request investigative reports and interview City employees to gather information needed to determine the City's liability under the Workers’ Compensation Act.
- Audit medical and prescription bills for accuracy and appropriateness and authorize benefit payments.
- Conduct training with operational departments on claims processes as needed.
- Attend monthly meetings with larger departments to review the status of current claims.
- Maintain current and accurate claims files.
- Submit reports and documents to the Industrial Commission of Virginia in accordance with the Workers’ Compensation Act.
- Perform other job duties requiring the skills, knowledge, and physical requirements associated with the position.
Benefits
- Full-time employees contribute 5% of annual salary toward their retirement account under Virginia Retirement System provisions, through a pre-tax payroll deduction.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
