Workers' Compensation Claims Adjuster II

Contra Costa County, CA

$92K — $113K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Valid California Motor Vehicle Operator's License required.
  • Current certified claims adjuster in California or possess a self-insurance certificate.
  • 60 semester or 90 quarter units from an accredited institution including business or insurance coursework.
  • 3 years of experience as a Workers' Compensation Claims Adjuster I or equivalent role.
  • Experience with adjusting workers' compensation indemnity claims.

Responsibilities

  • Investigate claims related to on-the-job injuries of County employees.
  • Administer timely Workers' Compensation benefits, including medical treatment and disability benefits.
  • Collaborate with legal counsel to develop cases and resolve claims.
  • Negotiate and settle claims through stipulations and compromise releases.
  • Document and maintain claim materials, including diaries and reserves.
  • Communicate timely with the excess insurance carrier when necessary.

Benefits

  • Hybrid remote work schedule.
  • Generous benefits package including retirement options.
  • Access to various health plan choices.
  • Engage with a dynamic team environment.
  • Opportunities existing for rapid career advancement due to the self-administered approach.
Full Job Description
Salary : $92,985.23 - $113,024.14 Annually
Location : Martinez, CA
Job Type: Permanent Full-Time
Job Number: AJVF-2024A
Department: Risk Management
Opening Date: 04/10/2024
Closing Date: Continuous
FLSA: Exempt
Bargaining Unit: ZB

The Position
***This is a continuous recruitment***

***Qualified candidates are encouraged to apply immediately***
Bargaining Unit: Local 21 - Non-Supervisory Management

Contra Costa County is seeking one (1) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers' Compensation Program is unique as it is not only self-insured, but also self-administers the claims and provision of benefits to industrially injured employees of the County. Where other public agencies rely on third-party administrators to administer their claims, the County believes our self-administered approach is one that prioritizes the quality of service to our internal departments and their injured employees.

The Workers' Compensation Claims Adjuster II may report to the Senior Workers' Compensation Claims Adjuster or the Workers' Compensation Claims Supervisor.

We are looking for someone who is:
  • An effective communicator who possesses strong verbal, written, and listening skills
  • Productive under pressure, while maintaining deadlines and administering timely Workers' Compensation benefits
  • Capable of maintaining working relationships with multiple parties including claimants, employer contacts, medical providers, and legal counsel
  • Able to apply technical knowledge and accurately make mathematical calculations
  • Able to interpret and use Workers' Compensation rules and regulations

What you will typically be responsible for:
  • Investigating compensability of on-the-job injury claims filed by County employees
  • Administering timely Workers' Compensation benefits to include provision of medical treatment, as well as, temporary disability benefits, permanent disability benefits, and Supplemental Job Displacement Benefits
  • Working closely with legal counsel for case development and claim resolution
  • Working on negotiation and settlement of claims by Stipulations and Compromise and Release
  • Reviewing and documenting diaries, reserves, and pertinent claim materials in a timely manner
  • Maintaining timely reporting with the excess insurance carrier, when appropriate

A few reasons you might love this job:
  • You will be part of a dynamic team
  • We offer a hybrid remote work schedule
  • You will have access to a generous benefits package including retirement, health plan options and other benefits listed here:

A few challenges you might face in this job:
  • You will work in a fast-paced environment
  • You will be expected to manage multiple assignments with competing deadlines
  • You may interact with clients that are upset and/or confused

The eligible list for this recruitment may remain active for 6 months.

Please view the job description
Minimum Qualifications

License Required: Possession of a valid California Motor Vehicle Operator's License. Out of state Motor Vehicle Operator's License may be accepted during the application process.

Certification: The incumbent must be a current "certified claims adjuster" in the state of California pursuant to Title 10 of CCR2592, or possess the self-insurance certificate issued by the State of California.

Education: Completion of 60 semester or 90 quarter units from an accredited college or university which included at least six semester or nine quarter units in business or public administration, insurance, physical science, finance or a closely related field.

Experience: Three (3) years of full-time or its equivalent performing as a Workers' Compensation Claims Adjuster I or in an equivalent classification as a professional claims adjuster with an insurance carrier or third party claims administrator whose primary responsibility was the adjustment of workers' compensation indemnity claims.

Substitution for Education: Additional experience of the type noted above may be substituted for the required education on a year-for-year basis up to a maximum of two (2) years.
Selection Process

  1. Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application, applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.
  2. Training and Experience Questionnaire: Candidates will be required to complete a training and experience questionnaire at the time of filing. The responses to the training and experience questions on the supplemental questionnaire will be used to evaluate candidates relevant education, training and/or experience as it relates to the Workers' Compensation Claims Adjuster II Classification. (Weighted 100%)

The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.

For recruitment specific questions, please contact Lashun Fuller at [email protected]. For any technical issues, please contact the GovernmentJobs' applicant support team for assistance at +1 855-524-5627.
To find more information on Benefits offered by Contra Costa County, please go to
01

The purpose of the questionnaire is to provide applicants the opportunity to elaborate on their experience, education, and training for this position and to assist the HR staff in assessing each applicant's qualifications. Your responses to the questionnaire will be used to better understand your relevant experience, education, and training to determine which applicants will be invited to participate in the next step of the recruitment process. Do not answer any of the questions by indicating "see attached application or see resume."
  • I understand

02

Do you possess a valid driver's license?
  • Yes
  • No

03

A certificate is required for this position and a copy of the document must also be attached to your application. Please select the option that applies:
  • I possess a State of California self-insurance certificate
  • I do not possess a State of California self-insurance certificate

04

Please select the highest level of education you have achieved:
  • High school diploma or equivalent
  • Some college, but less than 60 semester or 90 quarter units from an accredited college or university
  • Completion of at least 60 semester or 90 quarter units from an accredited college or university
  • Bachelor degree or higher
  • None of the above

05

Have you completed at least six (6) semester or nine (9) quarter units in business or public administration, insurance, physical science, finance or a closely related field?
  • Yes
  • No

06

If you selected "Yes" to the above question, please indicate which field the completed six (6) semester or nine (9) quarter units are in. Please write "N/A" if you selected "No" to the above question.
07

How many years of experience do you have performing as a Workers' Compensation Claims Adjuster I or in an equivalent classification as a professional claims adjuster with an insurance carrier or third party claims administrator whose primary responsibility was the adjustment of workers' compensation indemnity claims?
  • I do not possess the work experience described
  • I have less than three (3) years of experience as described
  • I have more than three (3) but less than four (4) years of experience as described
  • I have more than four (4) but less than five (5) years of experience as described
  • I have more than five (5) but less than six (6) years of experience as described
  • I have six (6) or more years of experience as described

08

How many years of experience do you have managing Workers' Compensation litigated claims?
  • I do not have the type of experience described
  • Less than one (1) year of experience described
  • More than one (1) year but less than two (2) years of experience described
  • More than two (2) years but less than three (3) years of experience described
  • Three (3) or more years of experience described

09

How many years of experience do you have handling Workers' Compensation claims with 3rd party recovery?
  • I do not have the type of experience described
  • Less than one (1) year of experience described
  • More than one (1) year but less than two (2) years of experience described
  • More than two (2) years but less than three (3) years of experience described
  • Three (3) or more years of experience described

10

How many years of experience do you have working with Medicare set-asides?
  • I do not have the type of experience described
  • Less than one (1) year of experience described
  • More than one (1) year but less than two (2) years of experience described
  • More than two (2) years but less than three (3) years of experience described
  • Three (3) or more years of experience described

11

How many years of experience do you have negotiating settlements by stipulation or compromise and release?
  • I do not have the type of experience described
  • Less than one (1) year of experience described
  • More than one (1) year but less than two (2) years of experience described
  • More than two (2) years but less than three (3) years of experience described
  • Three (3) or more years of experience described

12

By checking this box, I am confirming that all statements made in this supplemental questionnaire and on the application are accurate and true; and I understand that misstatements or omissions of material facts will result in being rejected from this recruitment process or released from future employment with Contra Costa County.
  • I understand

Required Question

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