Workers' Compensation Claims Adjuster II - Martinez, United States - Contra Costa County, CA

Description

Salary : $84, $102,516.12 Annually

Location : Martinez, CA

Job Type: Permanent Full-Time

Job Number: AJVF-2024A

Department: Risk Management

Opening Date: 04/10/2024

Closing Date: Continuous

FLSA: Exempt

Bargaining Unit: ZB

The Position

***This is a continuous recruitment***

***Qualified candidates are encouraged to apply immediately***

Bargaining Unit: Local 21 - Non-Supervisory Management

Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers' Compensation Program is unique as it is not only self-insured, but also self-administers the claims and provision of benefits to industrially injured employees of the County. Where other public agencies rely on third-party administrators to administer their claims, the County believes our self-administered approach is one that prioritizes the quality of service to our internal departments and their injured employees.

The Workers' Compensation Claims Adjuster II may report to the Senior Workers' Compensation Claims Adjuster or the Workers' Compensation Claims Supervisor.

Why join our team?
The County believes staff is its greatest asset. We strive to provide a workplace that is inclusive of all people, cultures, and backgrounds. At Contra Costa County, we see every day as a chance to create a positive impact on the individuals we serve. We lead through our values, integrity, community, and our employees are dedicated and provide excellent service.

The Workers' Compensation Unit in particular is a small and dedicated unit within the Risk Management team. Each team member has a unique opportunity to support each other, make an immediate impact on the program, and to share their experience and knowledge with the rest of the team. Our Adjusters have the opportunity to work on a wide variety of claims which ensures you are always learning something new and continuing to grow in your skillset and career path.

We are looking for someone who is:

• An effective communicator who possesses strong verbal, written, and listening skills
• Productive under pressure, while maintaining deadlines and administering timely Workers' Compensation benefits
• Capable of maintaining working relationships with multiple parties including claimants, employer contacts, medical providers, and legal counsel
• Able to apply technical knowledge and accurately make mathematical calculations
• Able to interpret and use Workers' Compensation rules and regulations

What you will typically be responsible for:

• Investigating compensability of on-the-job injury claims filed by County employees
• Administering timely Workers' Compensation benefits to include provision of medical treatment, as well as, temporary disability benefits, permanent disability benefits, and Supplemental Job Displacement Benefits
• Working closely with legal counsel for case development and claim resolution
• Working on negotiation and settlement of claims by Stipulations and Compromise and Release
• Reviewing and documenting diaries, reserves, and pertinent claim materials in a timely manner
• Maintaining timely reporting with the excess insurance carrier, when appropriate

A few reasons you might love this job:

• You will be part of a dynamic team
• We offer a hybrid remote work schedule
• You will have access to a generous benefits package including retirement, health plan options and other benefits listed here:

A few challenges you might face in this job:

• You will work in a fast-paced environment
• You will be expected to manage multiple assignments with competing deadlines
• You may interact with clients that are upset and/or confused

The eligible list for this recruitment may remain active for 6 months.

Please view the job description
Minimum Qualifications

License Required: Possession of a valid California Motor Vehicle Operator's License. Out of state Motor Vehicle Operator's License may be accepted during the application process.

Certification: The incumbent must be a current "certified claims adjuster" in the state of California pursuant to Title 10 of CCR2592, or possess the self-insurance certificate issued by the State of California.

Education: Completion of 60 semester or 90 quarter units from an accredited college or university which included at least six semester or nine quarter units in business or public administration, insurance, physical science, finance or a closely related field.

Experience: Three (3) years of full-time or its equivalent performing as a Workers' Compensation Claims Adjuster I or in an equivalent classification as a professional claims adjuster with an insurance carrier or third party claims administrator whose primary responsibility was the adjustment of workers' compensation indemnity claims.

Substitution for Education: Additional experience of the type noted above may be substituted for the required education on a year-for-year basis up to a maximum of two (2) years.
Selection Process

1. Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application, applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.
2. Training and Experience Questionnaire: Candidates will be required to complete a training and experience questionnaire at the time of filing. The responses to the training and experience questions on the supplemental questionnaire will be used to evaluate candidates relevant education, training and/or experience as it relates to the Workers' Compensation Claims Adjuster II Classification. (Weighted 100%)

The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.

For recruitment specific questions, please contact Amanda Monson at For any technical issues, please contact the GovernmentJobs' applicant support team for assistance at

CONVICTION HISTORY

After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.

DISASTER SERVICE WORKER

All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

EQUAL EMPLOYMENT OPPORTUNITY

It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

To find more information on Benefits offered by Contra Costa County, please go to

01

The purpose of the questionnaire is to provide applicants the opportunity to elaborate on their experience, education, and training for this position and to assist the HR staff in assessing each applicant's qualifications. Your responses to the questionnaire will be used to better understand your relevant experience, education, and training to determine which applicants will be invited to participate in the next step of the recruitment process. Do not answer any of the questions by indicating "see attached application or see resume."

• I understand

02

Do you possess a valid driver's license?

• Yes
• No

03

A certificate is required for this position and a copy of the document must also be attached to your application. Please select the option that applies:

• I am a current certified claims adjuster in the State of California pursuant to Title 10 of CCR 2592
• I possess a State of California self-insurance certificate
• I do not possess either type of certification listed above

04

Please select the highest level of education you have achieved:

• High school diploma or equivalent
• Some college, but less than 60 semester or 90 quarter units from an accredited college or university
• Completion of at least 60 semester or 90 quarter units from an accredited college or university
• Bachelor degree or higher
• None of the above

05

Have you completed at least six (6) semester or nine (9) quarter units in business or public administration, insurance, physical science, finance or a closely related field?

• Yes
• No

06

If you selected "Yes" to the above question, please indicate which field the completed six (6) semester or nine (9) quarter units are in. Please write "N/A" if you selected "No" to the above question.

07

How many years of experience do you have performing as a Workers' Compensation Claims Adjuster I or in an equivalent classification as a professional claims adjuster with an insurance carrier or third party claims administrator whose primary responsibility was the adjustment of workers' compensation indemnity claims?

• I do not possess the work experience described
• I have less than three (3) years of experience as described
• I have more than three (3) but less than four (4) years of experience as described
• I have more than four (4) but less than five (5) years of experience as described
• I have more than five (5) but less than six (6) years of experience as described
• I have six (6) or more years of experience as described

08

How many years of experience do you have managing litigated claims?

• I do not have the type of experience described
• Less than one (1) year of experience described
• More than one (1) year but less than two (2) years of experience described
• More than two (2) years but less than three (3) years of experience described
• Three (3) or more years of experience described

09

How many years of experience do you have handling claims with 3rd party recovery?

• I do not have the type of experience described
• Less than one (1) year of experience described
• More than one (1) year but less than two (2) years of experience described
• More than two (2) years but less than three (3) years of experience described
• Three (3) or more years of experience described

10

How many years of experience do you have working with Medicare set-asides?

• I do not have the type of experience described
• Less than one (1) year of experience described
• More than one (1) year but less than two (2) years of experience described
• More than two (2) years but less than three (3) years of experience described
• Three (3) or more years of experience described

11

How many years of experience do you have negotiating settlements by stipulation or compromise and release?

• I do not have the type of experience described
• Less than one (1) year of experience described
• More than one (1) year but less than two (2) years of experience described
• More than two (2) years but less than three (3) years of experience described
• Three (3) or more years of experience described

12

By checking this box, I am confirming that all statements made in this supplemental questionnaire and on the application are accurate and true; and I understand that misstatements or omissions of material facts will result in being rejected from this recruitment process or released from future employment with Contra Costa County.

• I understand

Required Question