SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER Job at State Compensation Insurance Fund, United States

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  • State Compensation Insurance Fund
  • United States

Job Description

Job Description and Duties

Are you passionate and excited to represent State Fund to our Brokers and Policyholders and champion our claims services and performance? Do you want to be part of a team that will influence the delivery of claims information and strengthen relationships with external and internal customers?

If the answer is YES and you believe you have what it takes, we would like to talk to you about joining the Claims Medical and Regulatory Division (CMRD) Program as we have the ideal position for you!

We are seeking a dynamic, articulate and experienced claims professional to fill a unique position as a Senior Claims Liaison. The role of the Claims Liaison will allow you to leverage your knowledge of claims adjusting and your strong communication skills in a customer-facing role. The Claims Liaison is focused primarily on working cross functionally with key stakeholders, both internal (Claims, Marketing, Underwriting, Safety and Health) and external (Brokers and Policyholders) to deliver outstanding customer service.

In this role, you will engage and develop relationships with brokers and policyholders by conducting claims review meetings where you will present case plans and collaborate with Claims Adjusters. You will provide training and be a claims subject matter expert for Brokers and Policyholders.

Every day can be a new and challenging venture where your role will help promote State Fund’s image as the Carrier of Choice by:

  • Providing claims information to Brokers and Policyholders and coordinating and conducting meetings, as required
  • Promoting the use of State Fund Online and our Claims Portal as the main source of claims information for internal and external customers
  • Recommending appropriate action to Claims personnel for issue resolution and improved service
  • Serving as a technical/training resource to Claims and Policy Operations personnel
  • Supporting State Fund’s efforts in achieving Corporate premium and customer service goals
  • Must be able to work independently without much supervision in handling a high volume of requests for claims information

DESIRABLE QUALIFICATIONS:

  • Basic understanding of various claims functions as they impact Claims Operations
  • Demonstrated clear and concise written and excellent verbal communication skills
  • Outstanding problem solving skills
  • Ability to collaborate with others across the organization
  • Demonstrated ability to work within a team and independently to accomplish assigned objectives
  • Ability to analyze issues, interpret data correctly, and apply laws/regulations and guidelines to explain and defend actions taken by Claims Operations staff and attorneys
  • Ability to apply a proactive approach to foster positive relations when explaining and defending actions taken by Claims Operations staff and attorneys
  • Ability to effectively work with and relate with other people (interpersonal skills)
  • Ability to communicate professionally and effectively verbally and in writing (including the ability to be persuasive and credible)
  • Maintains predictable and regular attendance

The successful candidate should possess the following skills & abilities:

  • 2 years of claims adjusting experience
  • Working knowledge of standard software applications, especially in the area of CARE and SFO
  • Discretion in working with and relating with other people to achieve judicious conflict resolution for a variety of sensitive issues and complex problems under challenging circumstances
  • Can be counted on to exceed goals successfully and is consistently a top performer
In all aspects of the performance of these duties, the incumbent will establish and maintain effective working relationships, uphold principles of integrity in the workplace, provide quality & timely customer service, follow the principles of State Fund’s Equal Employment Opportunity guidelines, maintain a safe work environment, defend State Fund against fraudulent activities and protect the fiscal integrity of State Fund, and maintain regular and predictable attendance and/or communication availability during working hours.

Work Environment and Hours

  • Frequent and regular travel will be required, including but not be limited to, plane, bus, van, taxi, or car
  • Travel may vary from overnight to five days in duration
  • Will occasionally involve work in the evenings

This position may be filled in the following locations: Bakersfield, Fresno, Glendale, Pleasanton, Redding, Eureka, Riverside, Rohnert Park, Sacramento, Santa Ana, Stockton or Vacaville.

You will find additional information about the job in the .

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

Additional Documents

Special Requirements

To be considered, you must provide a  fully completed STD 678 application, resume, and statement of qualifications (if applicable) via CalCareers. Resumes submitted in lieu of the STD 678 may not be accepted. Completed STD 678 must include duties performed, start and end dates, and hours worked per week for each position held.

Application Instructions

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.

Final Filing Date: 8/18/2025

Who May Apply

Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply

Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

State Compensation Insurance Fund

Mailing Address

Attn: JC-487176 VL

PO BOX 659015

Sacramento , CA 95865

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

State Compensation Insurance Fund

Talent Acquisition/Staffing

JC-487176 VL

2275 Gateway Oaks Drive

Sacramento , CA 95833

08:00 AM - 05:00 PM

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

  • Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
  • Resume is required and must be included.
  • Statement of Qualifications -
    • Describe your most exceptional broker or employer interaction while working in workers compensation.
    • The SOQ must be typed, 12-point Arial font, and no more than one (1) page in length
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

Benefits

Benefit information can be found on the CalHR website and the CalPERS website.

State Fund employees are eligible for a number of benefits. Our benefit package includes:

Health Benefits Program (CalPERS)

Retirement (CalPERS)

Employer Health and Consolidated Benefits Contributions

Dental, Vision

401(k) and 457 Deferred Compensation Plans

Employee Assistance Program

Group Legal Services Insurance

Holidays, Vacation/Sick/Other Paid Leave

Flex Elect Reimbursement Program

Wellness and Recognition

Alternate Work Schedules

Transit Pass Program

Tuition Reimbursement

Dependent Scholarship Program

Leadership Training

Mentoring Program

Contact Information

The Human Resources Contact is available to answer questions regarding the position or application process.

Department Website:

Human Resources Contact:
Vanessa La
(916) 924-5074
[email protected]

Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

EEO Contact:
Rosa Gil-Robles
(800) 499-8668

California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Background Investigation

Prior to employment with State Compensation Insurance Fund, a background investigation (BI) will be initiated.

Job Tags

Permanent employment, Full time, Work at office, Flexible hours, Night shift, Afternoon shift,

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