Jobs · Finance · California

Claims Adjuster

State Compensation Insurance Fund · San Diego County, CA · 4 wk ago
FinanceFull-time
We need to output only HTML fragment, using

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must preserve all substantive info, no boilerplate. Remove EEO etc. Also remove application instructions, etc. Keep job description and duties, requirements, qualifications, benefits, pay, schedule if present. Let's parse the posting. Key info: - Working Title: Claims Adjuster - Classification: WORKERS' COMPENSATION CLAIMS ADJUSTER with salary ranges: A $4,470.00 - $5,078.00, B $4,610.00 - $5,770.00, C $6,096.00 - $7,628.00. Also note "New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable." - # of Positions: Multiple - Work Location: San Diego County - Telework: Telework - Job Type: Permanent, Full Time - Department Information: description of State Fund. - Job Description And Duties: includes bullet points? Actually paragraph: "State Fund is hiring self-motivated individuals who thrive in a fast-paced environments to deliver quality customer service to our injured workers and employers. We offer exceptional training and career growth while making a meaningful difference in people’s lives. Sound like you? Apply today! The department will consolidate all applications and evaluate them as a single pool. Candidates are encouraged to submit only one application . Submitting multiple applications to different JC numbers listed in this recruitment will not increase your chances of selection, as all submissions will be merged for a single, comprehensive review. This Recruitment Is Being Advertised Using Multiple Bulletins: ..." That's more about application process; we should remove application instructions. But we need to keep substantive duties: "In This Role You Will:" list bullet points: - Learn the lifecycle of a Workers Compensation claim and the governing codes and laws - Ensure timely and accurate benefit provision, according to claims management, corporate policies & procedures and DWC laws and regulations - Proactively and independently, manage, finalize and control (adjust) an inventory - Collaborate with a team of claims professionals and other stakeholders - Serve as a resource to other team members and/or other internal staff - Ensure delivery of a high-quality claims product as demonstrated by successful execution of job duties Also note: "If you have more than 4 years of workers’ compensation claims adjusting experience, please see posting JC-533147 (San Diego) for openings at the Senior Workers’ Compensation Claims Adjuster level." That's a note, maybe not needed. - "If you have a bachelor’s degree, please attach a copy with your application (transcripts with a conferral date is acceptable)." That's application instruction; remove. - "Please answer the Statement of Qualifications questions found in the Additional Required Documents section in no more than two pages." That's application instruction; remove. - "You will find additional information about the job in the Duty Statement." Not needed. - Special Requirements: about PLP 2025 salary reduction; note that salary ranges do not reflect reduction. That's substantive about pay/benefits? It's about salary reduction program. Could be included in Pay or Benefits? It's a special requirement about salary reduction. Might be considered as part of Pay? But we should include if it's substantive. It says: "Effective July 1, 2025, the State of California implemented the Personal Leave Program 2025 (PLP 2025) which reduces an employee’s monthly salary in exchange for leave credits. Employees appointed to this classification will have their monthly salary reduced and will accrue hours of PLP 2025 on the first day of each pay period in accordance with the applicable bargaining contract. The salary range(s) included on this job posting do not reflect the reduction in pay." That's about pay. Could be included under Pay section. - "To be considered, you must provide a fully completed STD 678 application and resume." That's application instruction; remove. - "If a Statement of Qualifications (SOQ) is required for this posting, it must also be submitted as instructed in the “Required Application Package” section." Remove. - "Alternative documents submitted in lieu of required Application, Resume, or Statement of Qualifications will not be accepted." Remove. - "Completed STD 678 must include duties performed, start and end dates, and hours worked per week for each position held." Remove. - "If this posting requires an SOQ, Artificial intelligence (AI) tools such as ChatGPT, website searches, and third-party reviewers can be helpful in researching responses to the SOQ; however, by submitting your application for this position, you understand and acknowledge the SOQ you submit is your own work, in your own words, and accurately reflects your knowledge, skills, abilities, and experiences. Submitting a document that is not your own may be cause for disqualification from the hiring process ." Remove. - Application Instructions etc: remove. - Who May Apply: details about eligibility; could be considered Requirements? Might be considered as part of Requirements/Qualifications. It says: "Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s)." That's about eligibility; could be under Requirements or Qualifications. We'll include a Requirements section summarizing eligibility? But we must not invent or summarize away detail; we need to preserve all substantive information. However we can keep the text as is inside a

under Requirements. That's okay. - How To Apply: remove. - Required Application Package Documents: remove. Thus we need sections: About the role (maybe from department info and job description intro), Responsibilities (the "In This Role You Will:" list), Requirements (eligibility/minimum qualifications), Qualifications (maybe education/experience? The posting mentions bachelor's degree optional, experience >4 years for senior level; but not explicit minimum qualifications. Could include "If you have a bachelor’s degree, please attach a copy..." but that's application instruction. Not sure. There's also "New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable." That's about pay. Skills: maybe not explicit. Benefits: maybe not explicit besides telework? Telework is a benefit. Also PLP 2025 is a program that reduces salary for leave credits; that's a benefit? Could be under Benefits. Pay: salary ranges and note about PLP reduction. Schedule: Job Type: Permanent, Full Time; Telework: Telework. Could be schedule. We need to avoid sections with filler like "commensurate with experience". We have actual salary ranges. Let's craft sections:

About the role

State Fund is California’s largest provider of workers’ compensation insurance, established in 1914 by the state legislature. The department offers diverse and comprehensive products and services that provide a strong and stable option for employers and injured employees with fast, reliable claims service and medical and indemnity benefits. The culture centers on purpose and values: providing fairly priced workers' compensation insurance, making workplaces safe, and restoring injured workers. State Fund is committed to a diverse workforce and inclusion, recognizing and rewarding high performance while valuing a healthy work/life balance.

That's from department info.

Responsibilities

  • Learn the lifecycle of a Workers Compensation claim and the governing codes and laws
  • Ensure timely and accurate benefit provision, according to claims management, corporate policies & procedures and DWC laws and regulations
  • Proactively and independently, manage, finalize and control (adjust) an inventory
  • Collaborate with a team of claims professionals and other stakeholders
  • Serve as a resource to other team members and/or other internal staff
  • Ensure delivery of a high-quality claims product as demonstrated by successful execution of job duties

Requirements

Applicants must meet the Minimum Qualifications stated in the Classification Specification. Eligible candidates include those currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (with supporting documentation). SROA and Surplus candidates receive priority; other eligibility may be considered if no SROA or Surplus applicants are available.

Qualifications

A bachelor’s degree is preferred (transcripts with a conferral date are acceptable). Candidates with more than four years of workers’ compensation claims adjusting experience may be considered for senior-level positions (see posting JC-533147). New to State candidates will be hired at the minimum salary of the classification or alternate range when applicable.

But we need to be careful: The bachelor's degree preference is from "If you have a bachelor’s degree, please attach a copy with your application (transcripts with a conferral date is acceptable)." That's not a requirement but a suggestion. However we can include as qualification. We could also include "Experience in workers' compensation claims adjusting" but not explicitly stated as minimum. However the posting is for Claims Adjuster; likely requires some experience. But we shouldn't invent. We'll keep only what is explicitly stated. Maybe better to not have Qualifications section if it's thin. But we have some specifics: bachelor's degree optional, experience >4 years for senior level. That's not a qualification for this role but a note. Could be omitted. We could combine Requirements and Qualifications into one section? But rules: use headings only when there is real specific content. We have Requirements (eligibility). That's enough. We could have Benefits: Telework is a benefit. Also PLP 2025 program (leave credits in exchange for salary reduction) is a benefit? It's a special requirement but could be considered a benefit (leave credits). We'll include Benefits section with Telework and PLP 2025. Pay: salary ranges and note about PLP reduction. Schedule: Job Type: Permanent, Full Time; Telework: Telework. Let's craft. Benefits section:

Benefits

  • Telework option available
  • Participation in the Personal Leave Program 2025 (PLP 2025), which allows employees to exchange a portion of monthly salary for leave credits
Pay section:

Pay

Salary ranges for the Workers' Compensation Claims Adjuster classification:

  • Range A: $4,470.00 – $5,078.00 per month
  • Range B: $4,610.00 – $5,770.00 per month
  • Range C: $6,096.00 – $7,628.00 per month

New to State candidates are typically hired at the minimum of the applicable range. Note: The PLP 2025 program reduces monthly salary in exchange for leave credits; the published ranges do not reflect this reduction.

Schedule section:

Schedule

Permanent, full‑time position with telework flexibility.

We should also include Work Location maybe under About the role or a separate

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