Workers' Claims Aide Job San Diego area,California USA,Administrative/Clerical

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 Representative I
Workers’ Compensation Claims Representative II

Workers' Compensation Claims Aide positions investigate, adjust, and settle workers' compensation claims, including Future Medical and Medical Only cases; review and evaluate claims and the medical reports; interview and correspond with claimants, witnesses, and physicians; approve or deny claims; interpret the provisions of State Labor Code laws; and perform other duties as assigned.

NOTES:

Employees 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).

You must meet the following requirements on the date you apply, unless otherwise indicated.

EDUCATION/

EXPERIENCE:

You must meet ONE of the following options:

Two years of full-time clerical experience, which includes one year of experience providing clerical support for workers' compensation claims, researching billing and payment issues, and maintaining workers' compensation files electronically and/or hard copy.

18 months of full-time clerical experience, which includes six months of experience providing clerical support for workers' compensation claims, researching billing and payment issues, and maintaining workers' compensation files electronically and/or hard copy AND successful completion of one of the following Insurance Educational Association (IEA) or equivalent agency's classes:
Introduction to Workers' Compensation Claims Adjuster (WCCA) 8, WCCA 006, WCCA 10, WCCA 11, WCCA 12, WCCA 14 or WCCA 15.

18 months of full-time clerical experience, which includes six months of experience providing clerical support for workers' compensation claims, researching billing and payment issues, and maintaining workers' compensation files electronically and/or hard copy AND possession of a valid current designation as a Medical-Only Claims Adjuster in accordance with the California Code of Regulations.

NOTE:

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.

REQUIRED DOCUMENTS (MUST SUBMIT WITH APPLICATION):

Proof of IEA or equivalent agency's classes, if utilized to meet the minimum requirements.
Proof of designation as a Medical-Only Claims Adjuster in accordance with the California Code of Regulations, if utilized to meet the minimum requirements.
For City of San Diego employees, proof of Out-of-Class Assignment (OCA), if utilized to meet the minimum requirements.

Required documents should be attached electronically to your application. If you are unable to attach at the time of application submittal, you must submit them as soon as possible via fax: ; or to the Employment Information Center:
City of San Diego Personnel Department, 1200 Third Avenue - Suite 300, San Diego, CA 92101. Include your name and the title of the position for which you are applying.

Please ensure all information is complete and accurate as the responses you provide on the supplemental questions will be reviewed using an automated evaluation system. If you are successful in this initial screening process, your application will be reviewed for…