Workers' Compensation Claims Representative II
About The Position
Workers' Compensation Claims Representative II is not an entry-level position. The role investigates, adjusts, administers, and settles workers' compensation cases; conducts pre-trial investigations and prepares reports; reviews accident and injury reports; determines and rates employee disabilities; and represents the City at workers' compensation hearings. Other duties may be assigned. Applicants must have a valid designation as a Claims Adjuster or Experienced Claims Adjuster under the California Code of Regulations to qualify. Successful candidates may be placed on an eligible list used to fill vacancies for 180 days.
Requirements
- Two years of full-time professional-level experience investigating, adjusting, and settling workers' compensation claims.
- At least one year of full-time experience handling claims covered by California law.
- A valid designation as a Claims Adjuster or Experienced Claims Adjuster in accordance with the California Code of Regulations.
- Submit proof of the required claims adjuster designation with the application.
- City of San Diego employees relying on Out-of-Class Assignment experience must submit documentation signed by their appointing authority or payroll specialist detailing work performed, dates, and total qualifying hours.
- Qualifying experience may be with a third-party administrator, insurance company, or self-insured public agency or private company. Law-office experience preparing, negotiating, or settling workers' compensation claims does not qualify.
Nice To Haves
- Self Insurance Administrator Certificate issued by the State of California Department of Industrial Relations.
Responsibilities
- Investigate, adjust, administer, and settle workers' compensation cases.
- Conduct pre-trial investigations and prepare reports.
- Review accident and injury reports.
- Determine and rate employee disabilities.
- Represent the City at workers' compensation hearings.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
