Workers’ Compensation Claims Adjuster II

About the role

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

Responsibilities

• 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
• Negotiating and settling 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

Qualifications

• Licenses 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.

Benefits

• Retirement
• Health plan options
• Other benefits listed here: Employee Benefits | Contra Costa County, CA Official Website