Job Description and Duties
These positions may be located in one of the following locations: Fresno, Glendale, Pleasanton, Redding, Riverside, Rohnert Park, or Vacaville.
This is a 24-month limited term position which may be extended, cancelled, or made permanent at any time.
This is a 24-month limited term position which may be extended, cancelled, or made permanent at any time.
If becoming permanent, the selected candidate must be eligible for a permanent appointment at the time of the LT appointment or at the time of the conversion.
The Claims Processing Center has immediate openings for multiple Billing Research Specialists at the Workers' Compensation Claims Adjuster level to work in Bill Review. This is a unique opportunity for self-motivated individuals with strong communication skills with interest in optimizing medical billing accuracy and compliance. Additionally, the positions will be limited-term appointments for up to 24 months and may become permanent with management approval.
The following is a brief outline of the duties of the Billing Research Specialist as envisioned by the management team:
• Demonstrate flexibility in prioritizing and completing multiple tasks within narrow timeframes
• Meet Service Level Agreement targets in the production of multiple reports and the completion of all assigned projects
• Research and determine appropriate medical payments using SmartAdvisor and CARE
• Collaborate with multiple team members, participate in meeting settings, and provide solutions to challenges incurred in
multiple roles
• Provide clear and concise communication of research and findings to management as needed
• Respond to queries from Claims staff as needed
Additionally, the successful candidates would preferably have a minimum of two years of experience within the last five years in the performance of Workers' Compensation Bill Review duties and analysis.
You will find additional information about the job in the Duty Statement.
Working Conditions
The successful candidate must reside in California upon appointment.
Selected candidate(s) hired may be required to attend in-person Onboarding at our Vacaville office with expenses for attendance paid by State Fund.
Minimum Requirements
You will find the Minimum Requirements in the Class Specification.Additional Documents
Position Details
Job Code #:
JC-533604
Position #(s):
402-312-9325-XXX
Working Title:
Billing Research Specialist
Classification:
WORKERS' COMPENSATION CLAIMS ADJUSTER
$4,470.00 - $5,078.00
A
$4,610.00 - $5,770.00
B
$6,096.00 - $7,628.00
C
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
# of Positions:
Multiple
Work Location:
United States
Telework:
Telework
Job Type:
12 Month Limited Term - Full Time
Department Information
State Fund is California’s largest provider of workers’ compensation insurance. Established in 1914 by the state legislature, we offer diverse and comprehensive products and services that provide a strong and stable option for employers and injured employees with fast, reliable claims service and medical and indemnity benefits.
Our culture centers on our purpose and values. We exist to provide fairly priced workers' compensation insurance, make workplaces safe, and restore injured workers. To fully represent California, we are committed to our employees by embracing and celebrating our diverse workforce and fostering inclusion to make the workplace a dynamic environment for all. We recognize and reward high performance, yet value a healthy work/life balance.
Department Website:
http://www.statefundca.com
Special Requirements
To be considered, you must provide a fully completed STD 678 application and resume. If a Statement of Qualifications (SOQ) is required for this posting, it must also be submitted as instructed in the “Required Application Package” section. Alternative documents submitted in lieu of required Application, Resume, or Statement of Qualifications will not be accepted. Completed STD 678 must include duties performed, start and end dates, and hours worked per week for each position held.
If this posting requires an SOQ, Artificial intelligence (AI) tools such as ChatGPT, website searches, and third-party reviewers can be helpful in researching responses to the SOQ; however, by submitting your application for this position, you understand and acknowledge the SOQ you submit is your own work, in your own words, and accurately reflects your knowledge, skills, abilities, and experiences. Submitting a document that is not your own may be cause for disqualification from the hiring process.
Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: 10/13/2026Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.
Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included.
If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:
Address for Mailing Application Packages
You may submit your application and any applicable or required documents to:
State Compensation Insurance Fund
Mailing Address
Attn:
JC-533604 NG
PO BOX 659015
Sacramento,
CA
95865
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
State Compensation Insurance Fund
Talent Acquisition/Staffing
JC-533604 NG
2275 Gateway Oaks Drive
Sacramento,
CA
95833
08:00 AM
-
05:00 PM
Required Application Package Documents
The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
- Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
- Resume is required and must be included.
- Other - A Statement of Qualifications must be submitted according to the following theme:In a fast-paced environment, adaptability and quick problem solving are crucial. Describe a time when you had to rapidly switch between different tasks or projects, while also providing support to team members.The SOQ should be typed in Arial 10-point font and be double-spaced. Please limit the length of your SOQ to a maximum of two pages.
Benefits
State Fund employees are eligible for a number of benefits. Our benefit package includes:
Health Benefits Program (CalPERS)
Retirement (CalPERS)
Employer Health and Consolidated Benefits Contributions
Dental, Vision
401(k) and 457 Deferred Compensation Plans
Employee Assistance Program
Group Legal Services Insurance
Holidays, Vacation/Sick/Other Paid Leave
Flex Elect Reimbursement Program
Wellness and Recognition
Alternate Work Schedules
Transit Pass Program
Tuition Reimbursement
Dependent Scholarship Program
Leadership Training
Mentoring Program
Contact Information
The Human Resources Contact is available to answer questions regarding the position or application process.
Department Website:
http://www.statefundca.com
Human Resources Contact:
Nicholas Gutierrez
(209) 730-6383
ngutierrez2@scif.com
Nicholas Gutierrez
(209) 730-6383
ngutierrez2@scif.com
Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.
EEO Contact:Rosa Gil-Robles
(800) 499-8668
California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice)
TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.
Background Investigation
Prior to employment with State Compensation Insurance Fund, a background investigation (BI) will be initiated.
Acknowledgement
Electronic applications submitted through your CalCareer Account are highly recommended and will be received/processed faster than other methods of filing.
By applying to this position, you are also acknowledging that you have received the following information:
- California State benefits
- Duty statement/Job Description
- Salary ranges and steps for the classification(s) advertised
Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
Must reside in California; 2+ years of workers' compensation bill review experience preferred; strong communication and multitasking skills; ability to meet service level targets.
Key Responsibilities
- researching medical payments
- producing reports
- collaborating with team
Skills & Tools
SmartAdvisor, CARE
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Full Time, Temporary
- Workplace: Remote — Fresno or Glendale or Pleasanton or Redding or Riverside or Rohnert Park or Vacaville or California
- Salary: USD 53,640 – 91,536 / year
- Languages: English
Benefits
- Generous paid time off
- Tuition reimbursement
- Retirement plan
About State Compensation Insurance Fund
California's largest provider of workers' compensation insurance, offering claims service and medical benefits. — Industry: Government Agencies and Departments