Worker's Compensation Adjuster - San Francisco, United States - City and County of San Francisco

Description

THIS IS A CITYWIDE EXAM

San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change.

This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area.

Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco.

• Application Open:

Tuesday, April 30th, 2024

• Application Deadline:

End of Day, Monday, May 13, 2024

• Compensation for the 8141 Classification:$99,450 - $120,900 Annually
• Work Arrangement:

Hybrid Remote/Onsite

• Fill Type:

Permanent Civil Service

• Recruitment ID:

RTF

The Worker's Compensation Division of the Department of Human Resources is entrusted to provide worker's compensation benefit delivery and support to City employees with work injuries and illnesses in compliance with state and local laws and regulation.

It also coordinates and supports citywide safety and prevention efforts.
Under direction, a Worker Compensation Adjuster is responsible for adjusting claims of employees of the City & County of San Francisco and performing other related duties as required for the Workers' Compensation Division of the Department of Human Resources


Essential functions include:

• Reviewing and determining liability of workers' compensation claims for injured employees;
• Authorizing medical treatment in consultation with medical experts when necessary;
• Determining and authorizing all indemnity payments;
• Establishing and maintaining adequate reserves on claims within authorized level;
• Interpreting and explaining workers' compensation laws;
• Negotiating and settling claims within authority level on behalf of the City and County of San Francisco;
• Providing direction to Claims Assistants;
• Preparing various reports and correspondence;
• Conducting effective interviews; and contacting and interacting with client departments.
• Accessing, updating and maintaining files using various computer systems and software.

Education:

• Possession of a baccalaureate degree from an accredited college or university;

Experience:

• One (1) year of verifiable experience adjusting California workers compensation Claims Adjuster and/or a Claims Assistant.

License and Certification:

• Possession of a Self Insurance Administrator's Certificate issued by the State of California, Department of Industrial Relations. (Must be obtained within one year of date of hire.)

Substitutions:

• Additional experience as a California workers' compensation claims adjuster and/or a claims assistant may substitute for the required degree on a year-for-year-basis. One year of verifiable experience equals thirty (30) semester or forty-five (45) quarter units.
• Completion of college level coursework may substitute for the required degree on a year-for-year basis. Thirty (30) semester or forty-five (45) quarter units.
• A California Workers' Compensation Claims Administration (WCCA) certificate, California Workers Compensation Claims Professional (WCCP) certificate or equivalent from Insurance Educational Association (IEA) or comparable entity may substitute for one (1) year of the required experience or one (1) year of the required education.

Verification of Education and

Experience:

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process.

If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found atrg/how-verify-education-requirements

Note:

Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline.

Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.
Resumes will not be accepted in lieu of a completed City and County of San Francisco application.
Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following:

• Minimum Qualification Supplemental Questionnaire (MQSQ) - Candidates will be required to complete an MQSQ as part of theemployment application. This MQSQis designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQwill be used to evaluate if the applicant possesses the required minimum qualifications.
• Written Performance Examination (Weight 100%) - Candidates deemed eligible will be invited to participate in a written performance examination to assess their knowledge, skills and abilities in job-related areas. The performance exam will be administered on a computer. Candidates will be notified of the exact date, time and place to report for the written examination. A passing score must be achieved on this examination in order to be placed/ranked on the Eligible List.

Eligible List- A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only.

An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates.

Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law.

However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved.

The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be six (6) months, and may be extended with the approval of the Human Resources Director.

Certification Rule - The certification rule for the eligible list resulting from this examination will be Rule of Ten (10) Scores for 6 months.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Terms of Announcement and Appeal Rights:

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations.

Clerical errors may be corrected by the posting the correction on the Department of Human Resources website The terms of this announcement may be appealed under Civil Service Rule 111A.35.1.

The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis' for establishing the position description, the minimum qualifications and/or the certification rule.

Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director.

Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Additional Information Regarding Employment with the City and County of San Francisco

• Information About The Hiring Process (rg/information-about-hiring-process)
• Conviction History
• Employee Benefits Overview (rg/benefits-overview)
• Equal Employment Opportunity (rg/equal-employment-opportunity)
• Disaster Service Worker (rg/disaster-service-workers)
• ADA Accommodation
• Veterans Preference (rg/information-about-hiring-process#veteranspreference)
• Seniority Credit in Promotional Exams
• Right to Work (rg/information-about-hiring-process#identification)
• Copies of Application Documents
• Diversity Statement (rg/information-about-hiring-process#diversitystatement)

How to Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit and begin the application process.

• Select the "I'm Interested" button and follow instructions on the screen

Applicants may be contacted by email about this recruitment and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date.

Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter. To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses , , , , , , , , , , , , , , and ).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file.

Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Exams Analyst Information:
If you have any questions regarding this recruitment or application process, please contact the Analyst, David Catoe at
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply.

Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.