Workers' Compensation Specialist

Title: Workers' Compensation Specialist-26246407

Location: County of San Diego, CA

The County of San Diego's Department of Human Resources has a current opening for a Workers' Compensation Specialist to work for a large self-insured, self-administered agency on medical only and future medical workers' compensation claims.

Future Salary Increases

June 2027 – 4.49% increase to base pay (3.00% Across-the-Board + 1.49% Market Adjustment)

These positions may have a teleworking and/or flexible schedule available after an initial training period. Interviews will take place in September 2026 and JOB OFFERs will be made after the interviews are completed.

Workers' Compensation Specialists are assigned to medical only and future medical workers' compensation claims. Duties include: contacting employees, supervisors, and medical office staff regarding injury and other claim information, establishing and maintaining claim files, a diary system and indexes in a claim management system, reviewing medical reports and authorizing medically necessary treatment, monitoring and authorizing payments, initiating appropriate notices, verifying job-related accidents, investigating suspicious claims and other related work as required.

Click here to view the complete job description for Workers' Compensation Specialist.

External candidates who are offered a job will be required to undergo a background check and pre-medical examination.

Timeline and Dates 

• Job Offers and Background Process will begin directly after interviews are complete. (Current employees may be exempt from this process.)
• Pre-employment Medical Screening: Approximately 3 days following successful background investigation results.
• Anticipated Start Date: Based upon successful completion of medical screening or other mutually agreed upon date.

If you are not selected for this interview process, you may have the opportunity to compete for future vacancies.
 
Minimum Qualifications:

1. Three (3) years of full-time experience adjusting California workers' compensation medical-only claims, OR
2. Four (4) years of full-time experience in an insurance, medical, or legal environment providing support services to workers' compensation adjusters, which has included setting up files, obtaining information and maintaining confidential records, OR
3. Possession of a certificate in Workers' Compensation from an institution recognized by the California Department of Insurance or the Insurance Education Association.