8165-Worker's Compensation Supervisor I

Under general direction the Workers Compensation Supervisor assists and provides first-line oversight of claims adjusting and processing teams for the Workers Compensation Division. Performs complex work in supervising the review analysis investigation and disposition of workers compensation claims and reports. Provides  claims supervision of confidential complex cases; provides technical training auditing and supervising of personnel; serves as the departmental liaison to client departments regarding activities of the assigned workers compensation program; works with the City Attorneys office on litigation strategies; and performs other related duties as required.

1. Receives and reviews all incoming workers compensation claims to determine complexity and assign to appropriate claims adjusting staff.

2. Advises claims adjuster claims assistants and support staff on appropriate claims handling techniques.

3. Provides claims  supervision of catastrophic cases death cases and confidential complex cases.

4. Serves as the liaison for the workers compensation coordinators of the client departments.

5. Serves as the workers compensation technical expert to advise staff and client departments on changes and applicability of workers compensation laws.

6. Audits the work product of claims adjusters to ensure compliance with applicable laws and departmental best practices.

7. Generates statistical reports and completes analysis of data.

8. Works with the City Attorneys office on litigation strategies for complex claims.

9. Reviews all self-imposed penalties to determine liability and authorizes payment.

10. Authorizes medical treatment for complex medical cases.

11. Reviews the assignment of Medical Legal Evaluators (which include Agreed Qualified and/or Independent Medical Evaluators) on complex cases.

12. Works collaboratively with the Occupational Nurse Consultant Nurse Manager and/or Nurse Case Managers to review complex claims and establish medical protocols.

13. Advises the Occupational Nurse Manager and/or Consultant on issues related to medical clinic operations.

14. Provides ongoing system support to claims staff.

15. Accurately estimates the potential claim costs (reserves) on complex cases.

16. Provides technical assistance to claims adjusters in determining permanent disability award calculations.

17. Directs the claims investigation on complex claims.

18. Reviews and approves negotiated case settlement/s with injured workers attorneys and interested parties based on established authority levels.

19. Provides daily supervision guidance coaching and mentoring to assigned staff.

20. Completes ongoing performance evaluations of all assigned staff.

21. Provides specialized technical training as needed to staff.

22. Performs related duties and responsibilities as assigned.

Qualifications :

1. Four (4) years of verifiable experience adjusting workers compensation claims; AND

2. Possession of a Self-Insured Administrators Certificate issued by the State of California Department of Industrial Relations.

Verification of Education and Experience:

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required information on how to verify education requirements including verifying foreign education credits or degree equivalency can be found at  ones education training or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. 

All work experience education training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications. 

Resumes will not be accepted in lieu of a completed City and County of San Francisco application.

Applications completed improperly may be cause for ineligibility disqualification or may lead to lower scores.

Additional Information :

Selection Procedures: After application submission candidates deemed qualified must complete all subsequent steps to advance in this selection process which includes the following:

1. Minimum Qualification Supplemental Questionnaire (MQSQ) - Candidates will be required to complete a MQSQ as part of the employment application. This MQSQ is designed to obtain specific information regarding an applicants experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.

2. Supervisory Test Battery (STB) (weighted 40%)- Candidates who meet the minimum qualifications will be invited to participate in a computer-based examination designed to measure competencies in job-related areas which may include but are not limited to: Problem Solving; Leadership; Decision Making; Interpersonal skill; Human Resources Management; Team Building; Communication & Conflict Management. For more information about this Supervisory Test (and a suggested reading list) please visit: Supervisory Test Battery. Please note: this examination is only held in San Francisco. This is a standardized examination and therefore test questions and answers are not available for public inspection or review.

3. Supplemental Questionnaire Exam (weighted 60%) -  Candidates who meet the qualifications of the position will be required to complete the Supplemental Questionnaire Exam as a part of the selection process. The Supplemental Questionnaire is designed to measure the knowledge skills and abilities required for the position. Responses to the questionnaire will be reviewed and rated by a panel of subject matter experts and is subject to verification.

A passing score on the Supervisory Test Battery and Supplemental Questionnaire must be achieved in order to be placed/ranked on the Eligible List. Candidates will be placed on the eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Eligible List/Score Report:  A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established so applicants can view the ranks final scores and number of eligible candidates. Applicant information including names of applicants on the eligible list shall not be made public unless required by law. However an eligible list shall be made available for public inspection upon request once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g. as a result of appeals) as directed by the Human Resources Director or the Civil Service Commission.  The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director. 

Certification - The certification rule for the eligible list resulting from this examination will be Rule of the Five Scores.

Terms of Announcement and Appeal Rights :

Applicants must be guided solely by the provisions of this announcement including requirements time periods and other particulars except when superseded by federal state or local laws rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at 
terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is abuse of discretion or no rational basis for establishing the position description the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. 

Additional Information Regarding Employment with the City and County of San Francisco

HOW TO APPLY

Applications for City and County of San Francisco jobs are  only  accepted through an online process. Visit  begin the application process.

Select the Im Interested button and follow instructions on the screen

Applicants may be contacted by email about this recruitment and therefore it is their responsibility to ensure that their registered email address is accurate and kept up-to-date. Also applicants must ensure that email from CCSF is not blocked on their computer by a spam filter. To prevent blocking applicants should set up their email to accept CCSF mail from the following addresses (@ @ @ @ @ @ @ @ @ @ @ @ @ @ and @).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Exam Analyst Information : If you have any questions regarding this recruitment or application process please contact the analyst David Catoe at

Your information will be kept confidential according to EEO guidelines.

The City and County of San Francisco encourages women minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex race age religion color national origin ancestry physical disability mental disability medical condition (associated with cancer a history of cancer or genetic characteristics) HIV/AIDS status genetic information marital status sexual orientation gender gender identity gender expression military and veteran status or other protected category under the law.

Remote Work :

No

Employment Type :

Full-time