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 someone who actively contributes to project discussions, takes initiative in meetings, and communicates openly – raising questions, concerns, and ideas to help move work forward? Do you love investigating issues, connecting dots, and solving problems that make a real impact? If so, Claims Business Technology (CBT) is looking for Claims CARE Analysts to join us in advancing technology solutions that improve and support the way workers’ compensation claims are administered.

These positions may be filled at our Bakersfield, Eureka, Fresno, Glendale, Pleasanton, Redding, Riverside, Rohnert Park, Sacramento, Santa Ana, Stockton, or Vacaville offices.

Under the general direction of the CARE Communications Manager, the Claims CARE Analysts work closely with Claims professionals, IT, and project managers to translate business needs into smart technical solutions while also serving as a technical resource to business partners via the CARE Help Desk. Think of this role as part detective, part problem-solver, and part innovator – you’ll help uncover root causes, streamline technical processes, and make our systems smarter and more efficient for the people who rely on them every day. If you’re curious by nature, energized by untangling how systems interact, and excited to make them work better, you’ll fit right in.

As a Claims CARE Analyst, you will develop and perform the necessary skills to:

  • Act as a lead for CARE Help desk inquiries
  • Proactively collaborate with IT to resolve CARE IT tickets
  • Coordinate business testing for CARE IT issues and inquiries
  • Triage, evaluate, research, log, identify trends, and communicate CARE issues and enhancement ideas
  • Develop and/or complete scenario-based user acceptance testing (UAT) on specific projects for major releases
  • Provide guidance and act as a resource to validate CARE functionality after IT system changes/upgrades
  • Manage, coordinate, and participate in CARE projects
  • Provide technical support on complex CARE issues
  • Lead and participate in project change management and communication efforts

The ideal candidate should possess the following knowledge, skills and abilities:

  • 3+ years workers’ compensation claims experience
  • In-depth knowledge of the CARE system
  • Working knowledge of the State Fund organization, Regional Office and Corporate functions, and business policies and procedures
  • Working knowledge of various State Fund functions as they impact underwriting, marketing, and claims
  • Ability to work independently in a fast-paced environment and as a team with co-workers and management to address and resolve issues
  • Strong verbal and written communication skills
  • Strong organizational skills with the ability to effectively prioritize

** Claims and/or CARE experience preferred

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

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, resume, and statement of qualifications. 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.

Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list eligibility, are in the process of obtaining list eligibility, have LEAP eligibility, or have SROA and/or Surplus eligibility may be considered.

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: 11/10/2025

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-496584 NR

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-496584

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 -
    • In no more than two pages:
      1. Describe how your knowledge, skills, and experience make you the ideal candidate to serve as a resource to the Claims Business Technology team and our business partners.
      2. Describe a time you identified an issue with a process, system, or workflow and took ownership of resolving the problem.
      • How did you discover or recognize the issue? 
      • How did you assess the scope and impact of the issue?
      • What steps did you take to analyze and resolve the issue?
      • What did you learn from the experience?
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

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

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

Contact Information

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

Department Website:

Human Resources Contact:
Nichole Ruggiero
(209) 542-8041
nruggiero@scif.com

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

Contract work, Work at office, Flexible hours,

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