Workers' Compensation Claims Aide

Workers Compensation Claims Aide

Salary

$59,529.60 - $71,676.80 Annually

Location

City of San Diego, CA

Job Type

Varies by Position

Job Number

AG-T12072-202610

Business Area

1515 - Risk Management

Opening Date

10/16/2026

Closing Date

10/26/2026 11:59 PM Pacific

• Description
• Benefits
• Questions

JOB INFORMATION

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).

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:

• 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 agencys 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 agencys 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: (619) 533-3337; 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.

SCREENING PROCESS

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 applicable education, experience, and/or training to ensure all minimum requirements have been met. Successful candidates will be placed on a list which will be used to fill position vacancies during the next six months (180 days). For each vacancy, only those candidates with the most appropriate qualifications will be contacted by the hiring department for an interview.

SUPPLEMENTAL INFORMATION

PRE-EMPLOYMENT REQUIREMENTS: Employment offers are conditional pending the results of all screening processes applicable to this position, which may include the following: confirmation of citizenship or legal right to work in the United States; completion of a pre-employment medical review and exam (which may include drug and alcohol testing); reference checks; and fingerprinting. Fingerprints will be submitted to the Federal Bureau of Investigation and the California Department of Justice for a conviction record report. Certain positions may require additional screening processes, including a polygraph examination and/or background investigation. All screening processes must be successfully completed before employment begins. A positive test result for alcohol, cannabis/marijuana, illegal drugs, or inadequately explained prescription drugs, or misrepresentation, falsification, or omission of pertinent facts in any step of the screening or selection process, may constitute cause for disqualification or termination of employment. Nothing in this job posting constitutes an express or implied contract for employment with the City of San Diego. Candidates must notify the Personnel Department of any change in their name, mailing address, email address, or phone number, otherwise they may miss employment opportunities.

City employees may be eligible to participate in a benefit program including holidays, vacations, savings and retirement plans, health programs, and other benefits.

Eligible City employees initially hired or assuming office on or after July 10, 2021, with the exception of Police Recruits participating in the City's Police Academy, will participate in the City's Defined Benefit Plan administered by the San Diego City Employees' Retirement System (SDCERS).

Benefits may change due to employer-employee contract negotiations.

Flexible Benefits Plan Options for Employees Represented by Municipal Employees Associate (MEA) or review the Benefits Summary for MEA Employees.

01

I understand that failure to respond to the following questions in the spaces provided may result in the rejection of my application. In addition, I may miss out on employment opportunities. Résumés are NOT reviewed for assessing the minimum requirements.

• Yes
• No

02

Are you a current or former City of San Diego government/municipal employee?

• Current city employee
• Former city employee
• Current & former city employee
• None of the above

03

If you have previously worked or are currently working for the City of San Diego, please enter your PERNR.

04

The minimum age for this job is 18, unless you are 17 and a high school graduate. Do you meet the minimum age requirements for this job?

• Yes
• No

05

Specify which of the following options you are using to meet the minimum requirements.

• 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 agencys 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.
• None of the above.

06

How many months of full-time clerical experience do you have?

• None
• Less than 6 months
• 6 months to less than 12 months
• 12 months to less than 18 months
• 18 months to less than 24 months
• 24 months to less than 30 months
• 30 months to less than 36 months
• 36 months or more

07

Describe your full-time clerical experience. Specify from which employer the experience was gained, your title, level of responsibility, percent of time spent performing the duties and the total length of your experience. If you do not have any experience in this area, write "None."

08

How many months of full-time experience do you have providing clerical support for workers compensation claims, researching billing and payment issues, and maintaining workers compensation files electronically and/or hard copy?

• None
• Less than 6 months
• 6 months to less than 12 months
• 12 months to less than 18 months
• 18 months to less than 24 months
• 24 months to less than 30 months
• 30 months to less than 36 months
• 36 months or more

09

In which of the following areas do you have full-time experience?

• Providing clerical support for workers compensation claims.
• Researching billing and payment issues.
• Maintaining workers compensation files electronically and/or hard copy.
• None of the above.

10

Describe your full-time workers compensation claims experience in the following areas: a. Providing clerical support for workers compensation claims; b. researching billing and payment issues; c. maintaining workers compensation files electronically and/or hard copy. For each area, specify from which employer the experience was gained, your title, level of responsibility, percent of time spent on each area, and the total length of your experience. If you do not have any experience in a specific area, write "None."

11

Which of the following Insurance Educational Association (IEA) classes have you successfully completed? NOTE: Attach proof of completion to your application.

• Workers Compensation Claims Adjuster 8
• Workers Compensation Claims Adjuster 006
• Workers Compensation Claims Adjuster 10
• Workers Compensation Claims Adjuster 11
• Workers Compensation Claims Adjuster 12
• Workers Compensation Claims Adjuster 14
• Workers Compensation Claims Adjuster 15
• None of the above

12

Are you meeting the education requirement with an equivalent agencys class?

• Yes
• No

13

If you answered yes to question #12, specify equivalent agencys class and agency? NOTE: Attach proof of completion to your application.

14

Do you possess a valid designation as a Medical-Only Claims Adjuster in accordance with the California Code of Regulations? NOTE: Attach proof of designation to your application.

• Yes
• No

15

How many months of full-time experience do you have as a Medical-Only Claims Adjuster?

• None
• Less than 6 months
• 6 months to less than 12 months
• 12 months to less than 18 months
• 18 months to less than 24 months
• 24 months or more

16

Describe your full-time workers compensation claims experience in the following areas: a. Reviewing and evaluating claims, including medical reports, to determine eligibility; b. interviewing and corresponding with claimants, witnesses, and physicians; c. approving/denying and adjusting medical only cases. For each area, specify from which employer the experience was gained, your title, level of responsibility, percent of time spent on each area, and the total length of your experience.

Required Question

Employer City of San Diego

Address 1200 3rd Ave., Suite 300, MS 51P

San Diego, California, 92101

Phone (619) 236-6400

(619) 236-6358

Website http://www.sandiego.gov/empopp/