City of San Diego Hiring for Workers’ Compensation Claims Representative I at San Diego, CA Full Time

Salary

$58,739.20 – $71,073.60 Annually

Location

City of San Diego, CA

Job Type

Varies by Position

Business Area

1515 – Risk Management

Job Number

SI-T11152-202205

Closing

6/6/2022 5:00 PM Pacific

JOB INFORMATION

See NOTE(S) below for future wage increases and/or additional compensation opportunities.

WORKERS’ COMPENSATION CLAIMS REPRESENTATIVE I IS NOT AN ENTRY-LEVEL POSITION. IF YOU DO NOT HAVE A VALID DESIGNATION AS A CLAIMS ADJUSTER, EXPERIENCED CLAIMS ADJUSTER, OR MEDICAL-ONLY CLAIMS ADJUSTER IN ACCORDANCE WITH THE CALIFORNIA CODE OF REGULATIONS, YOU WILL NOT QUALIFY FOR THIS POSITION.

Workers’ Compensation Claims Representative I positions 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; and represent the City at various workers’ compensation and industrial leave claims actions and hearings; and perform other duties as assigned.

NOTES:
Employees in job classifications represented by Municipal Employees Association (MEA) are scheduled to receive a 5% general wage increase effective 7/1/22.

Eligible benefitted employees originally hired on or after July 10, 2021, will be automatically enrolled in the San Diego City Employees Retirement System (SDCERS).

MINIMUM REQUIREMENTS

You must meet the following requirements on the date you apply, unless otherwise indicated.

EXPERIENCE: One year of full-time professional-level experience investigating, adjusting, and settling workers’ compensation claims covered by California law AND 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.

NOTES:
Experience working for a third-party administrator, insurance company or self-insured public agency or private company is qualifying.

Experience working in a law office preparing, negotiating, or settling workers’ compensation claims is NOT qualifying.

City of San Diego employees using Out-of-Class Assignment (OCA) experience to qualify must submit written documentation signed by their appointing authority or payroll specialist, detailing the work performed, dates, and total number of qualifying OCA hours. OCA experience without the required documentation will NOT be considered.

LICENSE: A valid California Class C Driver License may be required at the time of hire.

HIGHLY DESIRABLE:
Possession of a Self Insurance Administrator Certificate issued by the State of California Department of Industrial Relations.

REQUIRED DOCUMENTS (MUST SUBMIT WITH APPLICATION):
Proof of designation as a Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster in accordance with the California Code of Regulations.

For City of San Diego employees, proof of out of Class Assignment (OCA), if utilized to meet the minimum requirements.

Required documents should be attached electronically to your application. If you are unable to attach at the time of application submittal, you must submit them as soon as possible via fax: (619) 533-3337; or to the Employment Information Center: City of San Diego Personnel Department, 1200 Third Avenue – Suite 300, San Diego, CA 92101. Include your name and the title of the position for which you are applying.

SCREENING PROCESS

Please ensure all information is complete and accurate as the responses you provide on the supplemental questions will be reviewed using an automated evaluation system. If you are successful in this initial screening process, your application will be reviewed for applicable education, experience, and/or training to ensure all minimum requirements have been met. Successful candidates will be placed on a list which will be used to fill position vacancies during the next six months (180 days). For each vacancy, only those candidates with the most appropriate qualifications will be contacted by the hiring department for an interview.

SUPPLEMENTAL INFORMATION

PRE-EMPLOYMENT REQUIREMENTS: Employment offers are conditional pending the results of all screening processes that are applicable to this position, which may include the following: confirmation of citizenship or legal right to work in the United States; completion of a pre-employment medical review and exam (which may include drug and alcohol testing); reference checks; confirmation of full COVID-19 vaccination; and fingerprinting. Fingerprints will be submitted to the Federal Bureau of Investigation and the California Department of Justice for a conviction record report. Certain positions may require additional screening processes, which may include a polygraph examination and/or background investigation. All of these processes must be successfully completed before employment begins. A positive test for alcohol or illegal drugs, including marijuana, or inadequately explained prescription drugs, or misrepresentation, falsification, or omission of pertinent facts in any step of the screening or selection process, may be cause for disqualification or termination of employment. Nothing in this job posting constitutes an express or implied contract for employment with the City of San Diego. Candidates must notify the Personnel Department of any change in their name, mailing address, email address, or phone number, otherwise they may miss employment opportunities.

COVID-19 VACCINATION: You must be fully vaccinated against COVID-19 before your start date.

NOTES:
“Fully vaccinated” means a person has received, at least 14 days prior, either the second dose in a two-dose COVID-19 vaccine series or a single-dose COVID-19 vaccine, or otherwise meets the criteria for full vaccination against COVID-19 as stated in applicable public health guidance, orders, or law. Acceptable COVID-19 vaccines must either be approved by the U.S. Food and Drug Administration (FDA) or authorized for emergency use by the FDA or the World Health Organization.

Candidates who receive a conditional job offer will be required to provide proof of their full COVID-19 vaccination.

Employees and candidates with a disability or medical condition that makes it medically inadvisable for them to receive a COVID-19 vaccine, as verified by their healthcare provider, or those with a sincerely held religious belief, observance, or practice that prevents them from receiving a COVID-19 vaccine, may request reasonable accommodation and exemption from the COVID-19 vaccination requirement. Candidates who receive a conditional job offer and wish to make a request for accommodation will be provided with more information. The City will review requests for medical or religious accommodation on a case-by-case basis in accordance with the Americans with Disabilities Act, Title VII of the Civil Rights Act of 1964, and the California Fair Employment and Housing Act. A candidate’s start date may be adjusted to allow for the accommodation process.

Rev. 12 – May 27, 2022 (New Recruitment Date)

City employees may be eligible to participate in a benefit program including holidays, vacations, savings and retirement plans, health programs, and other benefits. Eligible City employees initially hired or assuming office on or after July 10, 2021, with the exception of Police Recruits participating in the City’s Police Academy, will participate in the City’s Defined Benefit Plan administered by the San Diego City Employees’ Retirement System (SDCERS). Benefits may change due to employer-employee contract negotiations.Flexible Benefits Plan Options for Employees Represented by Municipal Employees Associate (MEA)

Agency

City of San Diego

Address

1200 3rd Ave., Suite 300, MS 51P

San Diego, California, 92101

Phone

(619) 236-6400

(619) 236-6358