Experienced Workers' Compensation Claims Specialist

The City of San Diego; California; On-site; USD 65,000 - 85,000; Full time

Job summary

The City of San Diego is hiring a Workers' Compensation Claims Representative I. The role investigates, reviews, evaluates, and administers claims under California law, reviews medical reports, sets reserves, and handles documentation.

Candidates must have one year of professional experience in investigating, adjusting, and settling claims and hold a valid designation such as Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster per California regulations.

Qualifications

• One year of full-time professional-level experience investigating, adjusting, and settling workers' compensation claims under California law.
• Possession of one of the following valid designations: Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster in accordance with the California Code of Regulations.

Responsibilities

• Investigate, review, evaluate, and administer workers' compensation claims; review medical reports; set reserves; file documentation; review and approve medical bills for payment; review accident and injury reports; interview and correspond with claimants, witnesses, attorneys, and physicians; approve claims or recommend denial; represent the City at various workers' compensation and industrial leave claims actions and hearings; perform other duties as assigned.

Job description

The City of San Diego is hiring a Workers' Compensation Claims Representative I. The role investigates, reviews, evaluates, and administers claims under California law, reviews medical reports, sets reserves, and handles documentation.

Candidates must have one year of professional experience in investigating, adjusting, and settling claims and hold a valid designation such as Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster per California regulations.