Insurance Specialist

Requisition No: 879844 Working Title: INSURANCE SPECIALIST III - 43003286 Open Competitive Employment Opportunity Class Title: INSURANCE SPECIALIST III Bureau: EMPLOYEE ASSISTANCE City: TAMPA County: HILLSBOROUGH Special Notes Two (2) years of professional work experience in a relevant field (claims handling, insurance, or customer service) is required. A post‑secondary degree may be used as an alternative for the years of experience on a year‑for‑year basis. Preferences One (1) or more years of experience providing guidance and/or consultative services to injured workers and/or the public. Working knowledge of Chapter 440 F.S. and Rule 69L F.A.C. Bi‑lingual with the ability to speak, read and write Spanish. One (1) or more years of experience utilizing investigative techniques. Minimum Qualifications Knowledge of methods of compiling, organizing and analyzing data. Ability to conduct fact‑finding interviews. Ability to collect, analyze and interpret data. Ability to plan, organize and coordinate work activities. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others. 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. 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. Make immediate contact with injured employees by phone and/or letter after receipt of a notice of injury. Provides explanation of rights and responsibilities under workers’ compensation law and documents intervention contacts in database. Identifies disputed issues, conducts investigations, 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. Provides toll free assistance number for injured employees for future reference. Provides education and information to the general 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 referrals 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. 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 View phone number on click.appcast.io). 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. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer. #J-18808-Ljbffr