- A bachelor's degree from an accredited college or university.
- Currently, or previously, had Florida Adjuster License.
- At least one (1) year of experience adjusting workers' compensation claims within the last three (3) years.
- At least (1) one year working in workers' compensation insurance claims business.
- At least (1) one year working in workers' compensation insurance claims business in the State of Florida.
- Experience working with any risk management information systems and/or any software programs designed to assist adjusting workers' compensation claims.
- Knowledge of the principles and techniques of effective communication.
- Ability to examine and evaluate data relating to a workers' compensation program.
- Ability to understand and apply applicable rules, regulations, policies, and procedures relating to a workers' compensation program.
- Ability to handle telephone calls in a fast, courteous, and effective manner.
- Ability to deal with the public in a tactful and courteous manner.
- Ability to work independently.
- Ability to utilize problem-solving techniques.
- Ability to conduct fact-finding investigations.
- Ability to plan, organize and coordinate work assignments.
- Ability to communicate effectively.
- Ability to establish and maintain effective working relationships with others.
- Ability to prepare and maintain records relating to a workers' compensation program.
- Ability to negotiate and facilitate resolution agreements.
- The Workers' Compensation Specialist conducts detailed investigations of workers' compensation claims submitted to Risk Management on state employees, applies the appropriate laws, and makes a determination of compensability. The Specialist evaluates medical reports, authorizes medical treatment, determines if rehabilitation is needed, authorizes compensation payments and settlements. The Specialist must calculate and maintain proper monetary reserves on claims and must recognize and pursue recoveries either through subrogation or the Special Disability Trust Fund.
- The Workers' Compensation Specialist handles workers' compensation claims that have been assigned to defense counsel by directing defense activity to conform to sound claims handling principles. The Workers' Compensation Specialist attends formal workers' compensation mediations and hearings when necessary.
- The Workers' Compensation Specialist assists and advises the Claims Coordinators of various state agencies, departments, divisions, bureaus, and sections with questions concerning workers' compensation claims, including but not limited to, questions of coverage, compensability, medical treatment and reporting work related accidents.
- As needed, the Workers' Compensation Specialist monitors the activities of Risk Management's prior service companies and also timely and accurately completes all DWC forms necessary for Electronic Data Interchange Reporting.
- The Workers' Compensation Specialist performs other related work as required.
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workers' compensation specialist - TALLAHASSEE, United States - MyFlorida
Description
WORKERS' COMPENSATION SPECIALIST
Date:
May 3, 2024
Location:
TALLAHASSEE, FL, US, 32308
The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website \_operations/human\_resource\_management/for\_job\_applicants/e\_verify) .
Requisition No:
Agency:
Financial Services
Working Title:
WORKERS' COMPENSATION SPECIALIST
Pay Plan:
Career Service
Position Number:
Salary:
$46, $50,000.00
Posting Closing
Date:
05/17/2024
Total Compensation Estimator Tool )
OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY
DIVISION:
RISK MANAGEMENT
BUREAU:
STATE EMPLOYEE WORKERS'
COMPENSATION CLAIMS
CITY:
TALLAHASSEE
COUNTY:
LEON
SPECIAL NOTES:
One (1) or more years' experience in the insurance field or six (6) months experience adjusting workers' compensation claims isrequired.
Preferences:
Salary range of $46,548.00-$50,000.00, based upon experience.
Employees of the Department of Financial Services are paid on a monthly pay cycle.
Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.
MINIMUM QUALIFICATIONS FOR THIS POSITION INCLUDE THE FOLLOWING REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS,AND ABILITIES:
BRIEF DESCRIPTION OF DUTIES:
This is a highly responsible and professional position in the investigation, evaluation and payment of workers' compensation claims handled by the Division of Risk Management.
Work is performed under the general supervision of the Workers' Compensation Administrator, but work is performed independently, exercising a great deal of independent judgment.
Performance is reviewed by audit of work product, reports and personal conferences.Principle duties consist of the following:
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida.
Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
VETERANS' PREFERENCE.
Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.
Certain service members may be eligible to receive waivers for postsecondary educational requirements.Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
Veterans' Preference documentation requirements are available by clickinghere ) . All documentation is due by the close of the vacancy announcement.Nearest Major Market:
Tallahassee
