Adjuster Job at San Bernardino County
San Bernardino County San Bernardino, CA
The Risk Management Department is recruiting for a Workers' Compensation Adjuster III to assign and review the work of lower level Adjusters and perform audits for quality assurance and staff development. Duties include receiving and reviewing workers' compensation claims and reports and determining if occupational illness or injury is compensable; developing documentation for claim reports by requesting substantiating reports from physicians, supervisors and witnesses; and explaining to injured workers their benefits and legal rights under Workers' Compensation Laws.
For more detailed information, refer to the Workers' Compensation Adjuster III job description.
Applications are also being accepted for Workers' Compensation Adjuster II which requires a separate application. Applicants are encouraged to apply for levels as appropriate.
As an alternative to the traditional benefits package, you may also be eligible to elect the Modified Benefit Option (MBO) that provides an increased base rate of pay ($1.75 per hour above the base rate of pay) with modified benefits. For more detailed information on the MBO for eligible Teamsters classifications, refer to the MBO - Teamsters (BbOU) - Summary Guide .
CONDITIONS OF EMPLOYMENT
Certificate: A valid California Self Insurance Administrator Certificate is required at the time of hire and must be maintained throughout employment.
Pre-Employment Process: Prior to appointment, applicants must successfully pass a background check, including fingerprinting, verification of employment history, and physical exam/drug test.
Travel: Travel throughout the county may be required. Employees will be required to make provision for transportation. At the time of hire, a valid California Class C driver license and proof of automobile liability insurance must be produced and maintained for the individual providing the transportation.
Experience:
Six (6) years of experience adjusting workers' compensation claims, including three (3) years adjusting complex litigated claims, such as continuous trauma, AOE/COE, stress disability claims, and the provision of LC4850 and SJDB.
Substitution:
Completed college coursework in finance or accounting, medical or paralegal studies may be substituted for experience at a rate of 12 semester (18 quarter) units for six months of experience up to a maximum of 12 months. Education may not substitute for the required three (3) years of complex, litigated claims adjusting experience.
The ideal candidate will possess:
- More than six (6) years of Workers' Compensation claims management experience
- Excellent verbal and written communication skills
- Proficiency with Microsoft Office products, including PowerPoint to facilitate informational seminars or in-service training presentations
- Strong leadership and interpersonal skills with the ability to work in a team and motivate a positive work environment
- Proven analytical and interpretive skills to identify trends and problems to make appropriate recommendations
- Demonstrated negotiation skills with the ability to influence outcomes of claim settlements
To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records. Please note, if you do not receive an onscreen confirmation and an email acknowledging our receipt of your application we have not received your application.
All communications regarding the remainder of the selection process will be via email . Please be sure the email provided on this application is always current; it is your responsibility to update your personal information. Update your Spam, Junk, Bulk and Firewall settings as needed to ensure that you receive all information pertaining to this recruitment.
EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants.
ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline.
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