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Worker's Compensation Adjuster
4 months ago
**Company Description** THIS IS A CITYWIDE EXAM**
San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco.
- ** Application Open: Tuesday, April 30th, 2024**:
- ** Application Deadline: End of Day, Monday, May 13, 2024**:
- ** Compensation for the 8141 Classification**:$99,450 - $120,900 Annually
- ** Work Arrangement**: Hybrid Remote/Onsite
- ** Fill Type**:Permanent Civil Service
- ** Recruitment ID**:RTF0147001-01015402
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:
- Reviewing and determining liability of workers' compensation claims for injured employees;
- Authorizing medical treatment in consultation with medical experts when necessary;
- Determining and authorizing all indemnity payments;
- Establishing and maintaining adequate reserves on claims within authorized level;
- Interpreting and explaining workers' compensation laws;
- Negotiating and settling claims within authority level on behalf of the City and County of San Francisco;
- Providing direction to Claims Assistants;
- Preparing various reports and correspondence;
- Conducting effective interviews; and contacting and interacting with client departments.
- Accessing, updating and maintaining files using various computer systems and software.
**Qualifications** Education**:
- Possession of a baccalaureate degree from an accredited college or university;
**Experience**:
- One (1) year of verifiable experience adjusting California workers compensation Claims Adjuster and/or a Claims Assistant.
**License and Certification**:
- Possession of a Self Insurance Administrator's Certificate issued by the State of California, Department of Industrial Relations. (Must be obtained within one year of date of hire.)
**Substitutions**:
- 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.
- 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.
- 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.
**Verification of Education and Experience**:
Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.
The duration of the eligible list resulting from this examination process will be six (6) months, and may be extended with the approval of the Human Resources Director.
**Certification Rule** - The certification rule for the eligible list resulting from this examination will be Rule of Ten (10) Scores for 6 months. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
**Terms of Announcement and Appeal Rights**:
**Additional Information Regarding Employment with the City and County of San Francisco**
- Information About The Hiring Process
- Conviction History
- Employee Benefits Overview
- Equal Employment Opportunity
- Disaster Service Worker
- ADA Accommodation
- Veterans Preference
- Seniority Credit in Promotional Exams
- Right to Work
- Copies of Application Documents
- Diversity Statement
**How to Apply**
- Select the “I’m Interested” button and follow instructions on the screen
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic in
