Workers' Compensation Claims Representative I

PRISM; San Diego (CA); On-site; USD 77,000 - 93,000; Full time

Job summary

The City of San Diego is seeking a Workers' Compensation Claims Representative I to investigate, evaluate, adjust, and settle California workers' compensation claims. The role involves reviewing medical reports, managing claim reserves, processing medical bills, and coordinating with claimants, attorneys, and medical providers.

Minimum qualifications include one year of full-time professional experience investigating, adjusting, and settling CA workers' compensation claims and a valid Claims

Qualifications

• One year of full-time professional experience investigating, adjusting, and settling California workers' compensation claims.
• Valid Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster designation.

Responsibilities

• Review medical reports to determine claim viability.
• Manage claim reserves and track expenditures.
• Process medical bills and reimburse providers.
• Coordinate with claimants, attorneys, and medical providers.

Job description

Workers' Compensation Claims Representative I

Date Posted: 10/26/2026

Employer: The City of San Diego

Salary Range: $77,251.20 - $93,454.40 Annually

The City of San Diego is hiring a Workers' Compensation Claims Representative I to investigate, evaluate, adjust, and settle workers' compensation claims. Duties include reviewing medical reports, managing claim reserves, processing medical bills, and coordinating with claimants, attorneys, and medical providers. Minimum Qualifications: One year of full-time professional experience investigating, adjusting, and settling California workers' compensation claims AND a valid Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster designation.