SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER

State of California; California (MO); Remote; USD 74,000 - 93,000; Full time

Benefits offered by this job

Health Benefits Program (CalPERS)

Retirement (CalPERS)

401(k) and 457 Deferred Compensation

Employee Assistance Program

Group Legal Services Insurance

Holidays, Vacation/Sick/Other Paid Le…

Job summary

State Fund is seeking a Senior Workers' Compensation Claims Adjuster to manage complex California workers’ compensation claims and deliver quality service. The role emphasizes independent adjustment, rigorous adherence to laws, and collaboration with a professional team.

Applicants should have strong attention to detail, excellent communication, and the ability to work in a fast-paced environment. Telework is available; the position is permanent and full-time with competitive benefits.

Qualifications

• Has minimum of 4 years of California Workers’ Compensation experience.
• Effectively manages a workers' compensation claims caseload, including high complexity.
• Maintains a positive attitude and provides excellent customer service.
• Demonstrates strong attention to detail in completing tasks accurately.
• Communicates clearly and professionally in written and verbal formats.
• Shows adaptability and willingness to learn new processes and technologies.
• Works well independently and as part of a collaborative team.

Responsibilities

• Reinforce knowledge of the lifecycle of a Workers' Compensation claim and governing codes and laws.
• Ensure timely and accurate benefit provision per claims management and DWC regulations.
• Independently manage and adjust an inventory of claims.
• Collaborate with a team of claims professionals and stakeholders.
• Serve as a resource to team members and internal staff.
• Deliver high-quality claims products through effective duty execution.

Skills

Workers' compensation claims

Customer service

Time management

Communication skills

Tools

CalCareers system

Job description

$6,646.00 - $8,324.00 per Month New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

Final Filing Date: 11/2/2026

Application Methods: Electronic (Using your CalCareer Account) By Mail Drop-off

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.

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 for different counties:

• JC-533131-Humboldt
• JC-533135-Fresno
• JC-533136-Alameda
• JC-533206-Riverside
• 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

If you have less than 4 years of workers' compensation claims adjusting experience, please see posting JC-533087 (Sonoma) for openings at the 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).

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

Looking for insight into claims? Learn more about our purpose, growth, and support at State Fund Here:

Please answer the Statement of Qualifications questions found in the Additional Required Documents section in no more than two pages.

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

Working Conditions

This is currently a Monday – Friday 8:00am – 5:00pm position.

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

• SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER

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

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.

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.

Required Application Package Documents

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.
• Statement of Qualifications - Please answer the below questions in no more than two pages. Please number each question, write out each question, and write out your answer as follows:
  Q1. How do you ensure that all parts of a task or project, both large and small, are accomplished without any of them being overlooked? Q2. Give an example of actions you took to help a customer or client which went beyond what is normally expected from someone in your position. Why did you take those actions? What were the results? Q3. How did you hear about this position with State Fund? • Friend or family member, if so, who? __________ • Cal HR • Social media • LinkedIn • I am a current State Fund employee • Other: Please explain: _________________________

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.

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

• Has a minimum of 4 years of California Workers’ Compensation experience
• Effectively manages a workers' compensation insurance claims caseload, including but not limited to claims with higher complexity
• Maintains a positive attitude and provides excellent customer service
• Demonstrates strong attention to detail in completing tasks accurately
• Communicates clearly and professionally in both written and verbal formats
• Shows adaptability and willingness to learn new processes and technologies
• Organized, great with time management, and able to prioritize multiple tasks in a fast-paced environment
• Works well independently and as part of a collaborative team
• Handles confidential information with discretion and integrity
• Driven to excel while working virtually

State Fund employees are eligible for a number of benefits. Our benefit package includes:

• Health Benefits Program (CalPERS)
• Retirement (CalPERS)
• Employer Health and Consolidated Benefits Contributions
• 401(k) and 457 Deferred Compensation Plans
• Employee Assistance Program
• Group Legal Services Insurance
• Holidays, Vacation/Sick/Other Paid Leave

The Human Resources Contact is available to answer questions regarding the position or application process.

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

Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Prior to employment with State Compensation Insurance Fund, a background investigation (BI) will be initiated.

Acknowledgement

Electronic applications submitted through your CalCareer Account are highly recommended and will be received/processed faster than other methods of filing.

By applying to this position, you are also acknowledging that you have received the following information:

• Duty statement/Job Description
• Salary ranges and steps for the classification(s) advertised

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.