City and County of Denver

Claims Adjuster Associate - Department of Finance

Downtown Denver Full time

About Our Job

New hires are typically brought into the organization between $63,679 - $80,000

With competitive pay, great benefits, and endless opportunities, working for the City and County of Denver means seeing yourself working with purpose - for you, and those who benefit from your passion, skills, and expertise. Join our diverse, inclusive, and talented workforce of more than 11,000 team members who are at the heart of what makes Denver, Denver.

What We Offer

The City and County of Denver offers competitive pay commensurate with education and experience. We also offer generous benefits for full-time employees which include but are not limited to:

  • A guaranteed life-long monthly pension, once vested after 5 years of service

  • 457B Retirement Plan

  • 140 hours of PTO earned within first year + 12 paid holidays, 1 personal holiday, 1 Wellness Day and 1 volunteer day per year

  • Competitive medical, dental and vision plans effective within 1 month of start date

Location

The City and County of Denver supports a hybrid workplace model. Employees work where needed, at a job site several days a week and off-site as needed. Employees must work within the state of Colorado on their off-site days. Risk Management requires in-person work primarily during the initial training period. Off-site work in line with Department of Finance standards will follow a successful training and probationary period.      

About the Department of Finance

The Department of Finance manages the city’s investing, fiscal analysis, budgeting, debt and asset management, tax assessment and collection, and accounting functions as well as establishing, maintaining and enforcing fiscal policies, practices and procedures for the entire City and County of Denver. The Department commits to Denver residents the delivery of these services through a financial structure that mirrors the best practices of both the public and private sectors. This commitment promotes better service, enhanced performance measures, maximum accountability and improved business processes.

About Risk Management and Workers’ Compensation

The Division of Risk Management and Workers’ Compensation within the Department of Finance oversees the identification, analysis and management of the City’s risk and exposure to loss related to the activities of the City and its departments, agencies and employees. This includes procurement of all property and liability insurance, workplace safety and emergency preparedness oversight for City employees, as well as management of the City’s Workers’ Compensation program for which we are self-insured and self-administered.

ABOUT OUR JOB

This position is responsible for managing an assigned caseload of workers’ compensation claims. Essential functions include contacting injured worker, employer and all necessary parties to determine coverage, compensability and benefits.

This role involves managing an active caseload of Workers’ Compensation claims. Initially, the caseload will consist of a smaller number of lower-severity claims, allowing for skill development and familiarity of processes. Over time, there may be opportunities to handle more complex cases. Candidates who demonstrate strong performance and interest may have the opportunity to apply for advancement into a Senior Claims Adjuster position. 

The position will evaluate losses, set and monitor reserves, issue benefits and negotiate settlements. As a Claims adjuster you will interact with injured workers, the City Attorney's office, medical professionals as well as claimant's attorneys during the course of your investigation. 

  • Investigates and confirms or denies coverage and compensability of claims presented through contact with claimant, insured and other involved parties

  • Regularly reviews and makes appropriate decisions regarding medical bills presented, wage claims and other daily claims items to keep file up to date

  • Manages the medical aspects of assigned claims with a focus on return to work and end of treatment

  • Refers appropriate files for task assignments to approved vendors for medical management, special investigative needs, etc., within assigned authority. Monitors status and quality of work performed

  • Make recommendations to the Worker’s Compensation Supervisor on claims issues which exceed personal authorization

  • Properly evaluates exposures on claims and takes appropriate reserving action in accordance with company guidelines, applicable state requirements, and within designated authority level

  • Negotiates claims to a conclusion, within assigned authority level

  • Effectively manages claims in litigation

  • Controls expenses on all worker’s compensation claims

  • Works with the Subrogation Analyst to maximize all recoveries on eligible claims

About You

Our Ideal Candidate Has:

  • Extensive knowledge of Colorado’s Workers’ Compensation Act, Rules of Procedure and significant Workers’ Compensation caselaw

  • Experience with Riskonnect Risk Management Information System (formerly known as CS STARS and STARS Enterprise)

  • An ability to reprioritize work many times a day in response to new developments and communication on assigned WC claims

  • A “customer service” mindset for handling claims involving fellow employees of the City

  • Excellent communication skills for keeping various involved internal and external customers informed and updated regarding claims handling status and plans

  • Excellent writing skills for internal file documentation and external written communication

We realize your time is valuable so please do not apply if you do not have at least the following required minimum qualifications:

  • Education Requirement: Bachelor's Degree in Political Science, Public Administration, Accounting, Management or a related field preferred, but not required.

  • Experience Requirement: At least two (2) years of experience adjusting Workers’ Compensation insurance claims

  • Education & Experience Equivalency: One (1) year of the appropriate type and level of experience may be substituted for each required year of post high school education

  • Additional appropriate education may be substituted for the minimum experience requirements

  • Licensure & Certification: Requires a valid Driver's License at the time of application

Licenses and certifications must be kept current as a condition of employment.

About Everything Else

Job Profile

CV3285 Claims Adjuster Associate

To view the full job profile including position specifications, physical demands, and probationary period, click here.

Position Type

Unlimited

Position Salary Range

$63,679.00 - $105,070.00

Target Pay

New hires are typically brought into the organization between $63,679 - $80,000.

Agency

Department of Finance

Redeployment during Citywide Emergencies

City and County of Denver employees may be re-deployed to work in other capacities in their own agencies or in other city agencies to support core functions of the city during a citywide emergency declared by the Mayor.

The City and County of Denver provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, or any other status protected under federal, state, and/or local law. 

It is your right to access oral or written language assistance, sign language interpretation, real-time captioning via CART, or disability-related accommodations. To request any of these services at no cost to you, please contact Jobs@Denvergov.org with three business days’ notice.

Applicants for employment with the City and County of Denver must have valid work authorization that does not require sponsorship of a visa for employment authorization in the U.S.

For information about right to work, click here for English or here for Spanish.