INSURANCE SPECIALIST III - 43003307

Requisition No: 858978 

Agency: Financial Services

Working Title: INSURANCE SPECIALIST III - 43003307

 Pay Plan: Career Service

Position Number: 43003307 

Salary:  $48,000.00 

Posting Closing Date: 08/22/2025 

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

CLASS TITLE: INSURANCE SPECIALIST III (PENALTY AUDITOR)

DIVISION: WORKERS’ COMPENSATION

BUREAU: COMPLIANCE

CITY: TALLAHASSEE

COUNTY: LEON

SPECIAL NOTES:

Two (2) years of professional experience in a related field such as finance, accounting, data analytics, money handling is required. A postsecondary degree in the listed fields may be used as an alternative for the years of experience on a year-for-year basis.

Additional requirements:

• One (1) or more years of experience with Microsoft Excel

Preferences:

• One (1) or more years of professional accounting and/or auditing experience.
• One (1) or more years of experience in workers’ compensation experience.
• Bi-lingual with the ability to fluently speak and write Spanish.

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

This position requires the incumbent of this position to have access to the Department of Economic Opportunity (DEO) SunTax data. As such, a Level 2 background check is required every five (5) years. 

We expect to fill this position at or near the minimum salary of $48,000.00 based on the candidate’s knowledge, skills and 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:

Ability to collect, analyze and interpret data; work independently; utilize problem solving techniques and conduct fact finding investigations; collect and compile information; plan, organize and coordinate work assignments; prepare and maintain records for auditing purposes; examine and evaluate data; understand and apply applicable rules, regulations, policies and procedures.  Ability to communicate verbally and in writing; prepare and generate clear and understandable written communication; communicate effectively; establish and maintain effective working relationships with others. Skill in using personal computers; using phone system; running copy machine. Knowledge of methods of compiling and organizing and analyzing data; various Microsoft programs and applications. Ability to utilize Microsoft Excel.

Other KSAs (Incumbent may learn on the job): 

Knowledge of workers’ compensation compliance rules and procedures.  Ability to calculate non-compliance penalties in accordance with 440.107, Florida Statute and 69L-6 of the Florida Administrative Code.  Ability to review and analyze business financial records such as Profit & Loss Statements, General Ledgers, and other reports generated by accounting or payroll software.

BRIEF DESCRIPTION OF DUTIES:

Examines and analyzes business financial documents to calculate penalties for non-compliance with the workers’ compensation coverage requirements of chapter 440, Florida Statutes. 

Penalties are calculated by determining the amount of premium the employer should have paid in workers’ compensation insurance coverage had it been compliant with Chapter 440, during the determined audit period.  To calculate premiums, the incumbent of this position reviews and analyzes employer’s business financial records (such as payroll reports, taxes, bank statements, general ledgers, cash ledgers, etc.) to identify any and all labor expenses, such as payroll, payments to subcontractors, etc. that is used to calculate penalties for workers’ compensation insurance non-compliance in accordance with S. 440.107(7)(e) and Rule 69L-6.028.

Accesses and utilizes various databases (such as Division of Corporations, Sunbiz and Department of Revenue SunTax Portal) to conduct the audit of the employer’s business financial records. 

Collects evidence relating to questionable financial activity and analyzes patterns and trends in financial records to identify labor expenses, and any other transactions regarding workers’ compensation insurance coverage requirements.

Reviews prepared balance sheet, profit and loss statement, and other financial reports.

Strong communication skills, written and verbal. Attention to detail and data entry skills.

Utilizes Microsoft Excel to compile and analyze data found in business financial records and insurance documents relating to the workers’ compensation insurance requirements to be able to determine payroll and calculate evaded insurance premiums.

Reviews workers’ compensation insurance policy information to validate eligibility of policy credit based on initial payment to acquire workers’ compensation insurance pursuant to statutes.

Assigns class codes to employers by using the National Council on Compensation Insurance (NCCI) Scopes Manual and investigative report.

Calculates the penalty for evaded workers’ compensation insurance premiums according to the applicable laws and rules. 

Writes narratives explaining the methodology used to calculate the penalty for evading workers’ compensation insurance requirements.

Submits penalty calculation for approval.

The incumbent of this position will be required to testify in Administrative Hearings regarding the calculation methodology for penalties issued to employers, who are not compliant with Chapter 440.  Liaison with District Penalty Facilitators.

Conduct workers’ compensation coverage checks on employers, when required.

Provides insurance information and responds to inquiries about workers’ compensation coverage requirements and exemptions.

Provides testimony and witness preparation, as needed, in cases that are challenged pursuant to Chapter 120, Florida Statutes.

Assist supervisors in workers’ compensation presentations and other informational events.

As required, conducts investigations of employers to determine if the employer is failing to secure the payment of compensation, understating or concealing payroll, materially misrepresenting or concealing employee duties so as to avoid proper classification for premium calculations, or materially misrepresenting or concealing information pertinent to the computation and application of an experience rating.  (s. 440.07 F.S.)  Other duties assigned by the audit management team or Bureau Chief.

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.