Workers' Compensation Claims Representative II

JOB INFORMATION WORKERS' COMPENSATION CLAIMS REPRESENTATIVE II IS NOT AN ENTRY-LEVEL POSITION. IF YOU DO NOT HAVE A VALID DESIGNATION AS A CLAIMS ADJUSTER OR EXPERIENCED CLAIMS ADJUSTER IN ACCORDANCE WITH THE CALIFORNIA CODE OF REGULATIONS, YOU WILL NOT QUALIFY FOR THIS POSITION. See NOTE(S) below for future wage increases and/or additional compensation opportunities. APPLICANTS ARE ENCOURAGED TO APPLY TO THE FOLLOWING RELATED RECRUITMENT(S):

• Workers' Compensation Claims Aide
• Workers' Compensation Claims Representative I

Workers' Compensation Claims Representative II positions investigate, adjust, administer, and settle workers' compensation cases; conduct pre-trial investigations and prepare reports; review accident and injury reports; determine and rate employee disabilities; represent the City at various workers' compensation hearings; and perform other duties as assigned.

Notes:

• E mployees in job classifications represented by Municipal Employees Association (MEA) are scheduled to receive the following general wage increases:

• 3.5% effective 7/1/27

• 2% effective 7/1/28

• 2% effective 1/1/29

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

**EXPERIENCE: Two years of full-time professional-level experience investigating, adjusting, and settling workers' compensation claims which MUST include at least one year of full-time experience handling claims covered by California law AND a valid designation as a Claims Adjuster or Experienced 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.

HIGHLY DESIRABLE:

• Possession of a Self Insurance Administrator Certificate issued by the State of California Department of Industrial Relations.**