Claims Adjuster

State Compensation Insurance Fund; Alameda (CA); Hybrid; USD 4,600 - 7,500; Full time

Job summary

State Compensation Insurance Fund is seeking self-motivated claims professionals in Alameda to deliver high-quality workers’ compensation service. You will learn the lifecycle of a WC claim, ensure timely benefit provisions, and independently manage a claims inventory while collaborating across teams.

The role emphasizes teamwork, adherence to laws, and continuous training to advance within the organization. This is a permanent full-time position with telework options in Alameda County.

Qualifications

• STD 678 application and resume required; include duties, start and end dates, hours worked per position.
• SOQ may be required for this posting; submit as instructed in Required Application Package.
• If a bachelor’s degree is required, attach transcripts with conferral date.

Responsibilities

• Learn the lifecycle of a Workers' Compensation claim and the governing codes and laws.
• Ensure timely and accurate benefit provision according to policies and regulations.
• Proactively manage and adjust an inventory of claims.
• Collaborate with a team of claims professionals and other stakeholders.
• Serve as a resource to other team members and internal staff.
• Deliver a high-quality claims product through effective execution of duties.

Skills

Claims knowledge

Customer service

Team collaboration

Self-motivated

Education

Bachelor's degree

Job description

Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

It is an objective of the State of California to achieve a drug‑free workplace. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.

Position Details

Job Code #

JC-533073

Position #(s)

402-795-9325‑XXX

Working Title

Claims Adjuster

Classification

WORKERS' COMPENSATION CLAIMS ADJUSTER

$4,470.00 - $5,078.00 A
$4,610.00 - $5,770.00 B
$6,096.00 - $7,628.00 C
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

Alameda County

Telework

Telework

Job Type

Permanent, Full Time

Department Information

State Fund is California’s largest provider of workers’ compensation insurance. Established in 1914 by the state legislature, we offer 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. Our culture centers on our purpose and values. We exist to provide fairly priced workers' compensation insurance, make workplaces safe, and restore injured workers. To fully represent California, we are committed to our employees by embracing and celebrating our diverse workforce and fostering inclusion to make the workplace a dynamic environment for all. We recognize and reward high performance yet value a healthy work/life balance.

Department Website: http://www.statefundca.com

Job Description And Duties

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.

This Recruitment Is Being Advertised Using Multiple Bulletins

• JC-533065 -- Kern
• JC-533071 -- Humboldt
• JC-533072 -- Fresno
• JC-533073 -- Alameda
• JC-533076 -- Shasta
• JC-533078 -- Riverside
• JC-533084 -- Los Angeles
• JC-533087 -- Sonoma
• JC-533089 -- Sacramento
• JC-533091 -- San Diego
• JC-533094 -- San Joaquin
• JC-533096 -- Solano

Looking for insight into claims? Learn more about our purpose, growth, and support at State Fund Here: https://www.youtube.com/watch?v=T8hSmsjuB3Y&list=PLl-QLNcYL6hTN64WADR_IIXgKDBvunK4a&index=2

In This Role You Will

• 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

If you have more than 4 years of workers’ compensation claims adjusting experience, please see posting JC-533136 (Alameda) for openings at the Senior Workers’ Compensation Claims Adjuster level.

If you have a bachelor’s degree, please attach a copy with your application (transcripts with a conferral date is acceptable).

Special Requirements

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.

Qualifications

To be considered, you must provide a fully completed STD 678 application and resume. If a Statement of Qualifications (SOQ) is required for this posting, it must also be submitted as instructed in the “Required Application Package” section. Alternative documents submitted in lieu of required Application, Resume, or Statement of Qualifications will not be accepted. Completed STD 678 must include duties performed, start and end dates, and hours worked per week for each position held.

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.

Who May Apply

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.