Advertising Claims Processor

Agency: Office of the Attorney General
Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000609
Pay Plan: Career Service
This is a re-advertisement. Our Organization and Mission: The Office represents the State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court of the United States.

Position Summary: The incumbent in this position serves the primary role of processing claim and payment determinations in the Bureau of Victim Compensation and plays an integral role in the overall effectiveness and efficiency of the program through daily activities in the claims process. Resolve compensability issues and independently determine eligibility for victim compensation benefits in accordance with established statutes, administrative rules, and procedures within two business days of receipt and with no margin of error; or, process and resolve caller inquiries received via the Automated Call Distribution toll-free victim services information and referral line, provider line, or agency call center.

Three (3) years of relevant clerical or administrative experience in the areas of: accounting; claims processing; claims or benefits eligibility determination; disability examiner; claims adjuster; insurance adjuster; A bachelor's degree from an accredited college or university can substitute for required work experience.
A high school diploma (or equivalent) can substitute for one year of required work experience.

Perform criminal history background checks for victims and applicants seeking victim compensation and/or property loss benefits using the Criminal Justice Information System, with no margin of error.
Contact law enforcement and criminal justice entities concerning claims to assess statutory elements of eligibility for benefits, as well as obtain information regarding the status of prosecution and restitution.
Contact victims telephonically to provide an introduction, status information, and/or instructions within two business days of claim assignment.
Contact vendors, advocates, employers, treatment providers, contractors, and/or collateral sources to verify costs directly related to the criminal victimization, and to verify that collateral sources are exhausted prior to payment by the trust fund, if applicable. Authorize payments in accordance with established statutes, administrative rules, and procedures. Respond to inquiries and concerns received via telephone, email, fax, or mail, within two business days of receipt. Resolve problems and complaints without escalation and with minimal referral to supervisors. Based on monthly statistical reports, achieve quantitative measurements of aptitude no less than 50 claim determinations processed, and 30 expenses paid monthly.
Finalizes quality assurance corrective actions within five business days of notification.
Makes referrals as appropriate to other service providers based on the nature of the inquiry.
Accurately enter caller information, type of service provided, and actions taken into the database used to manage compensation claims, and/or the call tracking system.
Resolve in-coming calls consistent with the rate in which calls are received and comparable with the volume resolved by other department call center staff. Communicate effectively both orally and in writing by providing information that is professional, clear and well understood. Resolve problems and complaints without escalation and with minimal referral to supervisors. Complete special projects as requested and finalize directives within established time frames.

Note: This position may require extended hours and/or travel outside of the work site.

Nine paid holidays and one Personal Holiday each year.
State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
Retirement plan options, including employer contributions (For more information, please click ).
Flexible Spending Accounts
Submit a complete and accurate application profile necessary for qualifying such as dates of service, reason for leaving, etc. In addition, all applicants must ensure all employment and/or detailed information about work experience is listed on the application (including military service, self-employment, job-related volunteer work, internships, etc.) NOTE: Any required experience and/or preferences listed in the advertisement must be verified at the time of application.
Ensure that applicant responses to qualifying questions are verifiable by skills and/or experience stated on the employment application and/or resume. Following the six-month period, a new application must be submitted to an open advertisement to be considered for that vacancy.
All state employees are required to participate in the direct deposit program pursuant to s. Candidate Profile (application) must be completed in its entirety.
Include supervisor names and phone numbers for all periods of employment.
Account for and explain any gaps in employment so that the hiring process is not delayed.
Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications.
If you experience problems applying online, please call the People First Service Center at View phone number on us.fitly.work.
Preference may be given to applicants who are fluent in Spanish.

All OAG positions are "sensitive or special trust" and require favorable results on a background investigation including fingerprinting, pursuant to s. The State of Florida supports a Drug-Free Workplace, all employees are subject to reasonable suspicion or other drug testing in accordance with section 112.0455, F.S. citizens and those lawfully authorized to work in the U.The Office of the Attorney General participates in the U.Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from SSS. For more information, please visit the SSS website at: // . 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 us.fitly.work). All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.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. 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 .