INSURANCE SPECIALIST III - 43003127

Requisition No: 837931 

Agency: Financial Services

Working Title: INSURANCE SPECIALIST III - 43003127

 Pay Plan: Career Service

Position Number: 43003127 

Salary:  $45,000.00 - $82,876.08 

Posting Closing Date: 10/03/2024 

Total Compensation Estimator Tool

*****OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY*****

DIVISION: WORKERS’ COMPENSATION

BUREAU: EMPLOYEE ASSISTANCE

CITY: TALLAHASSEE

COUNTY: LEON

SPECIAL NOTES:

Two (2) years of professional work experience in a relevant field (claims handling, insurance, or customer service) is required.  An associate degree from an accredited college may be used as an alternative for years of required work experience.

Preferences:

• Bilingual with the ability to read, write and speak English and Spanish.
• Working knowledge of Chapter 440 F.S. and Rule 69L F.A.C.
• One (1) or more years of experience providing guidance and/or consultative services to injured workers and/or the public.
• One (1) or more years of experience utilizing investigative techniques.
• One (1) or more years of Call Center experience.

This position requires a security background check as a condition of employment.

Regarding anticipated starting salary, the Division of Workers’ Compensation typically hires at or near the minimum unless an incumbent possesses direct and relevant experience in the job that they are a candidate for.  The Division is prepared to negotiate the salary depending upon the candidates direct and relevant 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:

Knowledge of Florida’s workers’ compensation system.  Knowledge of methods of compiling, organizing, and analyzing data.  Ability to conduct fact-finding interviews.  Ability to investigate insurance claims.  Ability to understand and apply applicable rules, regulations, policies, and procedures.  Ability to collect, analyze and interpret data.  Ability to make and defend decisions about insurance claims.  Ability to plan, organize and coordinate work activities.  Ability to communicate effectively.  Ability to establish and maintain effective working relationships with others.

BRIEF DESCRIPTION OF DUTIES:

This is a professional position responsible for dispute prevention and resolution through early involvement in the claims process, dissemination of information and education, investigation of disputed issues, outreach efforts and facilitation of the request for assistance process.

This position requires excellent oral/written communication, interpersonal, time management, investigative and negotiation skills. Work is performed independently and is subject to periodic review by the Supervisor.

Provides education and information to the public or injured employees who contact the bureau by way of telephone, written correspondence, or walk-in visits to field or central offices. Identify, assist, and provide appropriate referral for individuals deemed to be in crisis situations.

Initiates contact with workers’ compensation carriers to facilitate resolution of injured workers’ requests for assistance.  Provides education on workers’ compensation law, rules, procedures, managed care arrangements, safety, rehabilitation programs, rights, responsibilities, obligations, and other information pertinent to the request for assistance to carriers in an effort to resolve issues and documents the results.  Enters issue codes when appropriate and closes the case, when applicable, with the appropriate closure codes in the database.  Assists injured employees, upon request, in filing Petitions for Benefits, which meet statutory specificity requirements, and provides an explanation of the formal litigation process.

Promotes the early intervention process, provides public education and information on workers’ compensation law, rules, regulations, etc., through outreach contacts. Works cooperatively with the supervisor to develop outreach and training opportunities, tracks outreach efforts on a monthly report and provides recommendations for process improvements.

Conducts investigation of special assignments, contacts appropriate parties and attempts to facilitate resolution of disputed issues, documents investigation outcomes in database, and provides written notification of outcome to necessary parties, when appropriate. 

Performs other related duties as assigned.

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 (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

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 clicking here.  All documentation is due by the close of the vacancy announcement.