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Workers' Compensation Claims Aide

City of San Diego
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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.

MINIMUM REQUIREMENTS

You must meet the following requirements on the date you apply unless otherwise indicated.
 
EDUCATION/EXPERIENCE:  You must meet ONE of the following options:

  1. 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.
  2. 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.
  3. 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.

LICENSE:  A valid California Class C Driver License may be required at the time of hire.
 
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.

For official details and additional information please visit our website.