8141 Worker's Compensation Adjuster
|Date Opened||12/7/2020 08:00:00 AM|
|Filing Deadline||12/18/2020 5:00:00 PM|
|Salary||$84,162.00 - $102,310.00/year|
|Job Type||CBT Discrete|
Announcement reopened to reflect updated selection plan and to reopen filing period.
Deadline for applications is 5:00 PM, Friday, December 18, 2020.
In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice. As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.
The Workers’ Compensation Division of the Department of Human Resources is entrusted to provide workers’ compensation benefit delivery and support to City employees with work injuries and illnesses in compliance with state and local laws and regulations. It also coordinates and supports citywide safety and prevention efforts.
Essential Job Duties and Responsibilities:
Under direction, the 8141 Workers' Compensation Adjuster is responsible for adjusting claims and performing other related duties as required. Essential functions include:
- Reviewing and determining the 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;
- Contacting and interacting with client departments; and
- Accessing, updating and maintaining files using various computer systems and software.
- Possession of a baccalaureate degree from an accredited college or university;
- One (1) year of verifiable experience adjusting California workers’ compensation claims and/or as 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.)
- 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.
How To Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.
- Select the desired job announcement
- Select “Apply” and read and acknowledge the information
- Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
- Follow instructions on the screen
Applicants may be contacted by email about this announcement 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 (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu).
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.
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.
Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.
Verification of Experience and Education
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Failure to provide the required verification when requested may result in rejection of application and/or appointment in this class. Refer to the following links for information on acceptable forms of verification:
- Verification Guidelines: http://www.sfdhr.org/index.aspx?page=20#verification
- Education Verification: https://sfdhr.org/how-verify-education-requirements
Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification from this and future job opportunities with the City and County of San Francisco.
If you have any questions regarding this recruitment or application process, please contact the exam analyst, Gary Chen by email at Gary.firstname.lastname@example.org.
Written Performance Examination: Weight: 100%
All candidates who meet the minimum qualifications for this position will be invited to participate in a written performance examination to assess their knowledge, skills and abilities in job related areas, which may include but are not limited to: Knowledge of California Workers' Compensation laws and medical terminology; ability to research and investigate; analyze medical and investigative reports; apply knowledge of appropriate laws to make determinations; plan, organize, and prioritize tasks in the appropriate order to meet deadlines; speak and write in a clear, understandable, and concise manner to explain complex terms and ideas; establish and maintain effective working relationships; and calculate accurate rates and awards. The candidate must also demonstrate the ability to access, update, and maintain files using various computer systems and software which will be evaluated during the probationary period.
Candidate scores on this examination may also be applied to other announcements involving other job titles, when directed by the Human Resources Director.
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 12 months, and may be extended with the approval of the Human Resources Director.
Certification: The certification rule for the eligible list resulting from this examination will be Rule of Ten scores. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
As a selected candidate for a job, 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 (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a selected candidate. 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, such as:
- Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
- Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.
Having a conviction history does not automatically preclude you from a job with the City.
If you are a selected candidate, the hiring department will contact you to schedule a fingerprinting appointment.
Disaster Service Workers
Terms of Announcement: 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 in an announcement may be posted on the Department of Human Resources website at www.jobaps.com/sf.
The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at http://sfgov.org/civilservice/rules.
General Information concerning City and County of San Francisco Employment Policies and Procedures: Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process
Copies of Application Documents: Applicants should keep copies of all documents submitted, as these will not be returned.
Reasonable Accommodation Requests: Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at http://sfdhr.org/information-about-hiring-process#applicantswithdisabilities
Veterans’ Preference: Information regarding requests for Veterans Preference can be found at http://sfdhr.org/information-about-hiring-process#veteranspreference
Seniority Credit in Promotional Exams: Information regarding seniority credit can be found at:
Right to Work: All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.
Exam Type: CPE
Issued: 10/16/2020; Amended 10/29/2020; Amended 12/7/2020
Acting Human Resources Director
Department of Human Resources
Recruitment ID Number: CBT-8141-106394
All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.