Monday , February 6 2023

Worker’s Compensation Adjuster jobs

Website CCSF

Job Description:

The Worker’s Compensation Division of the Department of Human Resources is entrusted to provide worker’s compensation benefit delivery and support to City employees with work injuries and illnesses in compliance with state and local laws and regulation. It also coordinates and supports citywide safety and prevention efforts.

Under direction, a Worker Compensation Adjuster is responsible for adjusting claims of employees of the City & County of San Francisco and performing other related duties as required for the Workers’ Compensation Division of the Department of Human Resources. Essential functions include:

Job Responsibilities:

  • Providing direction to Claims Assistants;
  • Establishing and maintaining adequate reserves on claims within authorized level;
  • Conducting effective interviews; and contacting and interacting with client departments.
  • Interpreting and explaining workers’ compensation laws;
  • Determining and authorizing all indemnity payments;
  • Reviewing and determining liability of workers’ compensation claims for injured employees;
  • Accessing, updating and maintaining files using various computer systems and software.
  • Negotiating and settling claims within authority level on behalf of the City and County of San Francisco;
  • Preparing various reports and correspondence;
  • Authorizing medical treatment in consultation with medical experts when necessary;

Job Requirements:

  • A California Workers’ Compensation Claims Administration (WCCA) certificate, California Workers Compensation Claims Professional (WCCP) certificate or equivalent from Insurance Educational Association (IEA) or comparable entity may substitute for one (1) year of the required experience or one (1) year of the required education.
  • Completion of college level coursework may substitute for the required degree on a year-for-year basis. Thirty (30) semester or forty-five (45) quarter units.

Qualification & Experience:

  • Additional experience as a California workers’ compensation claims adjuster and/or a claims assistant may substitute for the required degree on a year-for-year-basis. One year of verifiable experience equals thirty (30) semester or forty-five (45) quarter units.
  • One (1) year of verifiable experience adjusting California workers compensation Claims Adjuster and/or a Claims Assistant.
  • Possession of a baccalaureate degree from an accredited college or university;

Job Details:

Company: City and County of San Francisco

Vacancy Type: Full Time

Job Functions: Other

Job Location: Oakland, CA, US

Application Deadline: N/A

Apply Here

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