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The Department of Risk Management is recruiting for Workers' Compensation Adjusters who receive and review workers' compensation claims and reports and determine if occupational illness or injury is compensable; develop documentation for claim reports by reviewing and requesting substantiating reports from physicians, supervisors and witnesses; and explain to injured workers their benefits and legal rights under Workers' Compensation Laws.
Certificate: A valid California Self Insurance Administrator Certificate is required at the time of hire and must be maintained throughout employment.
Experience: Three (3) years of experience, within the last five (5) years, adjusting workers' compensation claims, including one (1) year adjusting complex litigated claims, such as continuous trauma, AOE/COE, stress claims, and safety claims.
Substitution: Successful completion of college coursework in finance, accounting, medical or paralegal studies may be substituted for experience at a rate of 12 semester (18 quarter) units for six (6) months of experience up to a maximum of 12 months. Education may not substitute for the one (1) year of complex, litigated claims adjusting experience. If substituting coursework for experience, transcripts must be attached.
