Senior Claims Adjuster

State Compensation Insurance Fund; California (MO); Remote; USD 74,000 - 93,000; Full time

Job summary

State Fund is seeking a Senior Claims Adjuster in San Diego County, offering telework and a permanent, full-time position. You will manage the lifecycle of workers’ compensation claims, ensuring timely benefits and compliance with governing laws, while collaborating with a team of claims professionals to deliver high-quality outcomes.

Multiple positions are available. This role allows telework and requires strong self-motivation to thrive in a fast-paced environment and deliver exceptional

Responsibilities

• Reinforce knowledge of the lifecycle of a Workers' Compensation claim and governing codes and laws
• Ensure timely and accurate benefit provision according to claims management policies and DWC regulations
• Proactively and independently manage, finalize and control 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
• Ensure delivery of a high-quality claims product as demonstrated by successful execution of duties

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.

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 work place. 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-533147

Position #(s): 402-795-9326-XXX

Working Title: Senior Claims Adjuster

Classification: SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER

$6,646.00 - $8,324.00

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

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.

Recruitment Bulletin Counties

• JC-533131-Humboldt
• JC-533135-Fresno
• JC-533136-Alameda
• JC-533138-Shasta
• JC-533206-Riverside
• JC-533143-Los Angeles
• JC-533144-Sonoma
• JC-533145-Sacramento
• JC-533047-Kern
• JC-533148-San Joaquin
• JC-533149-Solano

In This Role You Will

• Reinforce your knowledge 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

Location and interview format subject to change at State Fund’s discretion.

You will find additional information about the job in the Duty Statement.

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.

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

Final Filing Date

Final Filing Date: 11/2/2026

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.

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).

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.