REGULATORY ANALYST IV - 43003529

Requisition No: 868870 

Agency: Financial Services

Working Title: REGULATORY ANALYST IV - 43003529

 Pay Plan: Career Service

Position Number: 43003529 

Salary:  $45,060.11 - $95,283.82 

Posting Closing Date: 01/26/2026 

Total Compensation Estimator Tool

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

CLASS TITLE: REGULATORY ANALYST IV

DIVISION: WORKERS’ COMPENSATION

BUREAU: MONITORING AND AUDIT

CITY: TALLAHASSEE

COUNTY: LEON

SPECIAL NOTES:

Four (4) years of experience in a relevant field (risk management, insurance, claims handling, medical billing and reporting, financial accounting, or auditing) is required.  A post-secondary degree from an accredited college or university may substitute for the required work experience.

Additional requirements:

• Two (2) or more years of regulatory experience.
• Two (2) or more years of experience working with Microsoft Office (Outlook, Word, Excel, and PowerPoint) and data analysis.

Preferences:

• Two (2) or more years of leadership experience.
• Two (2) or more years of experience interpreting rules, regulations, policies, and procedures.
• Two (2) or more years of experience in workers’ compensation medical and claims data collection.
• Two (2) or more years of experience utilizing investigative techniques and practices.
• Two (2) or more years of Electronic Data Interchange (EDI) knowledge and experience.
• One (1) year of experience with international Association of Industrial Accident Boards and Commissions (IAIABC) Claims EDI Release 3.

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

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 and skill in utilizing investigative techniques; statutory coverage requirements of the Workers’ Compensation Law (Chapter 440, Florida Statutes) and Florida Administrative Rules; ability to apply supervisor principles and practices.  Ability to make and defend decisions regarding enforcement actions; to conduct fact-finding interviews and take statements; to evaluate and document performance of staff; to use deductive reasoning; to determine work priorities, assign work and ensure proper completion of work assignments; to analyze information and determine its validity; to prepare and conduct training programs; to prepare reports; to make independent decisions; to maintain strict confidentiality; to communicate effectively, verbally and in writing; to safely operate a motor vehicle, as evidenced by a valid driver’s license; to understand and apply applicable rules, regulations, policies and procedures; to supervise people; to prioritize work load; to develop various reports; to assess budgetary needs; to collect, analyze and interpret data; to establish and maintain effective working relationships with others; to communicate effectively; to plan, organize and direct program activities.  Skilled in the review and analysis of written correspondence.

BRIEF DESCRIPTION OF DUTIES:

This is professional work providing management consulting services for the Division of Workers’ Compensation, Bureau of Monitoring & Audit to improve management capabilities and operational procedures related to the design, management, documentation, and evaluation of processes involved in the collection, quality control, storage and reporting of medical and claims data collected by the Division. 

In the absence of the Regulatory Analyst Supervisor, the Regulatory Analyst IV administers to routine CPS matters, including but not limited to the carrying out of all required processes and communication with employers, insurers and/or claim administrators to ensure assessing penalties for late reporting, benefit payments or medical payments are reviewed timely in accordance with Chapter 440 and Administrative Codes. *Conducts investigations to acquire facts needed to issue penalty assessments against employers for violations of requirements for making timely benefit payments to injured workers and violations of document filing requirements.  Monitors insurer/claim administrator late indemnity payments and late filings.  Communicates by telephone or certified letter when penalty payments have not been made within the specified timeframes outlined in F.S. 440.   Provides technical assistance and serves as a liaison to employers, employees, healthcare providers, attorneys, insurers and claim administrators with questions relating to the Workers’ Compensation law and claims handling practices.  Educates insurers, employers and claim administrators regarding penalty assessments. Trains new and current CPS team members on WC processes and procedures, statute and rules, CPS and WC history. Responds to customer requests for extensive knowledge of workers’ compensation.  

Responsible for reviewing insurers performance for penalty violations more than $10,000 for three consecutive months. For those insurers that fall within this compliance issue, the Regulatory Analyst IV will ensure that a self-audit is conducted for the period of one year. *Investigates complaints regarding violations of the law and Division Rules as assigned by the Regulatory Analyst Supervisor.  Monitors carrier practices by identifying and documenting violation trends and provides recommendations to the Regulatory Analyst Supervisor.  

Investigates cases to determine questionable claims handling practices by claim administrators in accordance with Florida Statutes.  Creates and maintains record of all actions taken and decisions issued for inclusion in any hearings before Judges of Compensation Claims, county court judges and statistical purposes.  Provides detailed reports of progress and investigation results to the Regulatory Analyst Supervisor when needed to assist Legal in preparing cases for hearings.

Identifies the need for and recommends CPS program modifications. Conducts testing for enhancements made to ensure compliance with program design. Assists the Regulatory Analyst Supervisor with evaluating the impact of program amendments on Division operations and goals. Assists the Regulatory Analyst Supervisor with conducting research to analyze program user needs, program hindrances, and other issues impacting operating practices. 

In conjunction with the Regulatory Analyst Supervisor, participates in team projects aimed at improving data collection techniques and practices. Reports critical problems to Regulatory Analyst Supervisor and management when delays in resolution interfere with daily production.  Participates in meetings and teleconferences with Regulatory Analyst Supervisor to discuss program deficiencies and expected outcomes. Assists Regulatory Analyst Supervisor with responding to calls received on the Penalty ACD Line. 

Performs work independently, subject to review by Regulatory Analyst Supervisor. Follows Department Internal Controls Policy and Bureau procedures and/or instructions to ensure confidential information accessed is secured and not disclosed outside of position duties. Performs other related duties as required.

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.