Claims Specialist - Victim​/Witness I (8129

Claims Specialist - Victim/Witness I

This position is ideal for someone who is detail-oriented, compassionate, and committed to ensuring victims receive the financial support they are entitled to.

Under general direction the Claims Supervisor, example of essential duties includes, but are not limited to:

• Verify and evaluate information provided by applicants to determine eligibility for program benefits
• Verify and evaluate crime related losses and applicable reimbursement and recovery sources
• Analyze and respond to inquiries from victims and service providers regarding program eligibility and pertinent service-related questions
• Work with a diverse population of clients who may be in crisis
• Apply excellent written and verbal skills to effectively communicate with applicants, state board staff, law enforcement, victim/witness advocates and peers with the goal of resolving claims in accordance with CalVCB guidelines
• Explain processes and guidelines to applicants to ensure that they are given accurate and timely information regarding the status of pending claims
• Demonstrate the ability to learn, understand, assimilate and apply extensive and frequently changing State of California policy and statutory revisions governing the claims verification process
• Collaborate with advocacy team and other parties related to pending cases and corresponding claims
• Apply knowledge of various reimbursement sources to resolve claims
• Maintain clear and concise notes documenting all contacts, correspondence and pertinent work performed
• Keep supervisor apprised of all activities, including current and anticipated issues
• Work with community stakeholders.

Minimum Qualifications:

At least one (1) year of experience in social services, case management, or the insurance industry.

Desired

Qualifications:

The ideal candidate will possess strong written and verbal communication skills, along with solid customer service abilities that include data collection, data entry, report writing, and record keeping. Candidates must be able to work effectively with members of the public, including individuals in crisis, and must adhere to strict processing guidelines while maintaining confidentiality in accordance with applicable laws and regulations.

The ability to work independently, follow established program policies and procedures, and apply strong analytical and critical-thinking skills is essential.

Education in Social Work, Psychology, Criminal Justice, or a closely related field at the bachelor's level or higher is strongly preferred. Desirable experience includes knowledge of victimology, advocacy, trauma, and health or mental-health services; familiarity with the criminal justice system, court processes, insurance reimbursement procedures, and general assistance programs; and experience working with diverse communities, particularly within San Francisco. Additional desirable skills include experience collaborating across government agencies, navigating fast-paced environments, and demonstrating strong initiative.

Effective communication with victims, service providers, law enforcement, state agencies, and internal staff is highly valued, as is the ability to maintain clear and organized documentation. Bilingual skills—especially in Cantonese, Mandarin, and Spanish—are highly desirable and may be evaluated based on departmental needs.

All applicants are required to submit the following supplemental materials in a single Word or PDF file along with their application:

• Cover Letter
• Resume
• Training credentials verifying language skills or applicable experience

Applications will be screened for relevant qualifying experience. Additional screening mechanisms may be implemented in order to determine candidates' qualifications. Only those applicants who most closely meet the needs of the Department will be invited to participate in the selection process. Applicants meeting the minimum qualifications are not guaranteed advancement in the process. Additional supplemental materials may be requested during the recruitment process.

Verification of

Education and Experience:

Applicants may be required to submit verification of qualifying education and experience at…