Career Opportunity

Worker's Compensation Supervisor (8165) - Department of Human Resources

Recruitment: RTF0134352-01128830

Published: April 28, 2023

Apply using SmartRecruiters, the City and County of San Francisco's application portal.

About:

• Application Opening: April 14, 2023
• Application Deadline: Extended through May 7, 2023
• Compensation: $120,536 - $146,510 Annually
• Recruitment ID: RTF0134352-01128830

Role description

Under general direction, the Worker's 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 Attorney's 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 Attorney's 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.

How to qualify

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

2. Possession of a Self-Insured Administrator's 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 https://sfdhr.org/how-verify-education-requirements

Note: Falsifying one’s 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.

What else should I know?

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 applicant's 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 
https://careers.smartrecruiters.com/CityAndCountyOfSanFrancisco1/ 

The 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

• Information About The Hiring Process
• Position Based Testing Information
• Conviction History
• Employee Benefits Overview  
• Equal Employment Opportunity 
• Disaster Service Worker
• ADA Accommodation
• Veterans Preference
• Seniority Credit in Promotional Exams
• Right to Work
• Copies of Application Documents
• Diversity Statement

HOW TO APPLY

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit https://careers.smartrecruiters.com/CityAndCountyOfSanFrancisco1/ and begin the application process.

• Select the “I’m 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 (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu, @smartalerts.info, and @smartrecruiters.com).

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, Gary Chen at Gary.w.chen@sfgov.org.

Your information will be kept confidential according to EEO guidelines.

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

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.