COSIPA
County of Santa Clara
Opening Date: December 12, 2025
Closing Date: January 12, 2026
Job Posting Title: Workers’ Compensation Claims Adjuster III
Job Opening Date: 2025-12-12
Job Closing Date: 2026-01-12
County of Santa Clara is seeking two (2) Workers’ Compensation Claims Adjuster III to join our team.
The County Workers’ Compensation Program is self‑insured and self‑administers the claims and provision of benefits to industrially injured employees of the County. Under limited supervision, the role analyzes, reviews, investigates and adjusts claims submitted by County employees for Workers’ Compensation Benefits and reviews the work of, evaluates, guides and trains lower‑level Claims Adjusters.
Typical Tasks
Trains, reviews and evaluates the work of lower levels of Workers’ Compensation Claims Adjusters
Serves as subject matter expert on the more complex Workers’ Compensation Claims
Adjusts on‑the‑job injury claims for County employees and determines compensability and reserve requirements
Conducts interviews with claimants, witnesses, supervisors and physicians regarding claims to ascertain the credibility of the claims
Identifies need for modified or alternate work accommodations or retraining services
Requests and records substantiating documentation from physicians, departments and witnesses
May prepare the litigation file, develop the case and negotiate Compromise and Release agreements or stipulations and/or assists counsel in these functions
May represent the County before the Workers’ Compensation Appeals Board
Makes provisions for medical treatment, payment of medical bills and all compensation benefits
Manages and controls caseload through periodic review of all open cases and determines course of action including case closures
Initiates investigation of accidents or injury causes and the status of disabled employees in order to determine facts and evidence to support the satisfactory disposition of cases
Prepares reports and correspondence
Performs related work as required
To apply for this job, please visit: https://www.governmentjobs.com/careers/santaclara/jobs/newprint/5154191
#J-18808-Ljbffr
Job Opening Date: 2025-12-12
Job Closing Date: 2026-01-12
County of Santa Clara is seeking two (2) Workers’ Compensation Claims Adjuster III to join our team.
The County Workers’ Compensation Program is self‑insured and self‑administers the claims and provision of benefits to industrially injured employees of the County. Under limited supervision, the role analyzes, reviews, investigates and adjusts claims submitted by County employees for Workers’ Compensation Benefits and reviews the work of, evaluates, guides and trains lower‑level Claims Adjusters.
Typical Tasks
Trains, reviews and evaluates the work of lower levels of Workers’ Compensation Claims Adjusters
Serves as subject matter expert on the more complex Workers’ Compensation Claims
Adjusts on‑the‑job injury claims for County employees and determines compensability and reserve requirements
Conducts interviews with claimants, witnesses, supervisors and physicians regarding claims to ascertain the credibility of the claims
Identifies need for modified or alternate work accommodations or retraining services
Requests and records substantiating documentation from physicians, departments and witnesses
May prepare the litigation file, develop the case and negotiate Compromise and Release agreements or stipulations and/or assists counsel in these functions
May represent the County before the Workers’ Compensation Appeals Board
Makes provisions for medical treatment, payment of medical bills and all compensation benefits
Manages and controls caseload through periodic review of all open cases and determines course of action including case closures
Initiates investigation of accidents or injury causes and the status of disabled employees in order to determine facts and evidence to support the satisfactory disposition of cases
Prepares reports and correspondence
Performs related work as required
To apply for this job, please visit: https://www.governmentjobs.com/careers/santaclara/jobs/newprint/5154191
#J-18808-Ljbffr