SENIOR WORKERS' COMPENSATION EXAMINER - 43000562

Florida; Tallahassee (FL); Sur place; USD 36 000 - 44 000; Plein temps

Résumé du poste

State of Florida in Tallahassee is seeking a Senior Workers’ Compensation Examiner to support processing of medical-only claims and related bills. The role requires strong communication, data evaluation, and independent work habits, with attention to rules and procedures.

Responsibilities include fact-finding, report preparation, and coordination with claims specialists. Security background checks are required; position follows a Monday–Friday schedule with a monthly pay cycle and a $40,140

Qualifications

• High school diploma or equivalent required.
• Experience with medical payments or workers’ compensation claims preferred.
• Experience with customer service and handling callers preferred.
• Ability to work independently and follow procedures.

Responsabilités

• Review and evaluate medical-only workers’ compensation claims.
• Process and pay medical and legal bills.
• Review First Report of Injury forms.

Connaissances

Verbal communication

Written communication

Data evaluation

Rules comprehension

Fact finding

Telephone etiquette

Independence

Problem solving

Planning and organizing

Report writing

Formation

High School diploma or equivalent

Description du poste

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SENIOR WORKERS' COMPENSATION EXAMINER - 43000562

Working Title: SENIOR WORKERS' COMPENSATION EXAMINER - 43000562

***OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY***POSITION TITLE: SENIOR WORKERS COMPENSATION EXAMINERDIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON

High School diploma or equivalent is required.

Preferences:

• Six (6) months of experience in a position requiring the processing of medical payments or knowledge of medical terms.
• Six (6) months of experience in working with workers’ compensation claims in any capacity.
• Six (6) months of experience in customer service and providing information to callers.
• Two (2) years of professional experience which involves workers’ compensation claims or a post-secondary degree which may substitute for the preferred experience.

MINIMUM QUALIFICATIONS FOR THIS POSITION INCLUDE THE FOLLOWING REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge of the principles and techniques of effective verbal and written communication and basic arithmetic.
• Ability to examine and evaluate data relating to a workers' compensation program.
• Understand and apply applicable rules, regulations, policies and procedures relating to a workers' compensation program.
• Ability to conduct fact finding investigation.
• Handle telephone calls in a fast, courteous and effective manner; deal with the public in a tactful and courteous manner.
• Work independently.
• Utilize problem solving techniques.
• Plan, organize and coordinate work assignments.
• Communicate effectively verbally and in writing.
• Establish and maintain effective working relationships with others.
• Prepare and maintain reports.
• Perform basic arithmetical calculations.

SPECIAL NOTES:

The anticipated salary for this position is $40,140.00.

Employees of the Department of Financial Services are paid on a monthly pay cycle.

This position is in our office in Tallahassee, FL. The work hours are from 8:00 a.m. – 5:00 p.m., Monday-Friday.

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

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.BRIEF DESCRIPTION OF DUTIES:

This position assists workers’ compensation specialists with reviewing and evaluating medical-only workers’ compensation claims, processing and paying medical and legal bills associated with workers’ compensation claims and reviewing workers’ compensation First Report of Injury forms.

IMPORTANT INFORMATION FOR RETIREES:

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.

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.

For assistance, call the People First Service Center at [phone] Monday - Friday, 8:00 a.m. to 6:00 p.m., Eastern time. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.