Senior Claims Adjuster

Job Description and Duties

State Fund is hiring self-motivated individuals who thrive in a fast-paced environments to deliver quality customer service to our injured workers and employers. We offer exceptional training and career growth while making a meaningful difference in people’s lives. Sound like you? Apply today!

Before you apply, please read our guide to State applications and how to complete an effective Statement of Qualifications.
Link: 

The department will consolidate all applications and evaluate them as a single pool. Candidates are encouraged to submit only one application . Submitting multiple applications to different JC numbers listed in this recruitment will not increase your chances of selection, as all submissions will be merged for a single, comprehensive review.

This recruitment is being advertised using multiple bulletins for different counties:

JC-533131-Humboldt

JC-533135-Fresno

JC-533136-Alameda

JC-533138-Shasta

JC-533206-Riverside

JC-533143-Los Angeles

JC-533144-Sonoma

JC-533074-Kern

JC-533147-San Diego

JC-533148-San Joaquin

JC-533149-Solano

In this Role You Will:

• Reinforce your knowledge the lifecycle of a Workers Compensation claim and the governing codes and laws
• Ensure timely and accurate benefit provision, according to claims management, corporate policies & procedures and DWC laws and regulations
• Proactively and independently, manage, finalize and control (adjust) an inventory
• Collaborate with a team of claims professionals and other stakeholders
• Serve as a resource to other team members and/or other internal staff
• Ensure delivery of a high-quality claims product as demonstrated by successful execution of job duties

If you have less than 4 years of workers' compensation claims adjusting experience, please see posting JC-533089 (Sacramento) for openings at the Workers' Compensation Claims Adjuster level.

If you have a bachelor’s degree, please attach a copy with your application (transcripts with a conferral date is acceptable).

Location and interview format subject to change at State Fund’s discretion.

Looking for insight into claims? Learn more about our purpose, growth, and support at State Fund Here: 

Please answer the Statement of Qualifications questions found in the Additional Required Documents section in no more than two pages.

You will find additional information about the job in the .

Working Conditions

This is currently a Monday – Friday 8:00am – 5:00pm position.

Special Requirements

Effective July 1, 2025, the State of California implemented the Personal Leave Program 2025 (PLP 2025) which reduces an employee’s monthly salary in exchange for leave credits. Employees appointed to this classification will have their monthly salary reduced and will accrue hours of PLP 2025 on the first day of each pay period in accordance with the applicable bargaining contract. The salary range(s) included on this job posting do not reflect the reduction in pay.

To be considered, you must provide a fully completed STD 678 application and resume. If a Statement of Qualifications (SOQ) is required for this posting, it must also be submitted as instructed in the “Required Application Package” section. Alternative documents submitted in lieu of required Application, Resume, or Statement of Qualifications will not be accepted. Completed STD 678 must include duties performed, start and end dates, and hours worked per week for each position held.

If this posting requires an SOQ, Artificial intelligence (AI) tools such as ChatGPT, website searches, and third-party reviewers can be helpful in researching responses to the SOQ; however, by submitting your application for this position, you understand and acknowledge the SOQ you submit is your own work, in your own words, and accurately reflects your knowledge, skills, abilities, and experiences. Submitting a document that is not your own may be cause for disqualification from the hiring process

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Our Ideal Candidate:

• Has a minimum of 4 years of California Workers’ Compensation experience
• Effectively manages a workers' compensation insurance claims caseload, including but not limited to claims with higher complexity
• Maintains a positive attitude and provides excellent customer service
• Demonstrates strong attention to detail in completing tasks accurately
• Communicates clearly and professionally in both written and verbal formats
• Shows adaptability and willingness to learn new processes and technologies
• Organized, great with time management, and able to prioritize multiple tasks in a fast-paced environment
• Works well independently and as part of a collaborative team
• Handles confidential information with discretion and integrity
• Driven to excel while working virtually

Benefits

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

Background Investigation

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

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 -

  Please answer the below questions in no more than two pages. Please number each question, write out each question, and write out your answer as follows:
  

  
  Q1. How do you ensure that all parts of a task or project, both large and small, are accomplished without any of them being overlooked?

  Q2.  Give an example of actions you took to help a customer or client which went beyond what is normally expected from someone in your position. Why did you take those actions? What were the results?

  Q3.  How did you hear about this position with State Fund?

  • Friend or family member, if so, who? __________

  • Cal HR

  • Social media

  • LinkedIn

  • I am a current State Fund employee

  • Other: Please explain: _________________________