Claims Adjuster - Workers' Compensation (Licensed Florida WC Claims Adjuster - REQUIRED)

Overview
The Florida Sheriffs Risk Management Fund (FSRMF) seeks an experienced claims adjuster for the position of Workers’ Compensation Claims Adjuster. The Workers’ Compensation Claims Adjuster is responsible for delivering a level of claims and customer service that exceeds our members’ expectations. Under moderate supervision, the adjuster will investigate claims to determine an injured worker’s entitlement to workers’ compensation benefits.

Responsibilities

• Identifies, analyzes, confirms and documents coverage
• Completes 3-point contact on new claims within 24 hours to obtain injury/accident details, medical and return to work status
• Establishes reserves within assigned authority, including documentation of reserve rationale
• Proactively manages assigned caseload with documented plans of action to ensure timely and appropriate resolution
• Timely and accurately completes Large Loss Reports (LLRs) on files that meet established criteria
• Evaluates and documents a detailed settlement analysis
• Negotiates settlement of claims within designated authority
• Reviews, approves and/or issues accurate and timely indemnity, medical and expense payments
• Accurately and timely completes state required forms
• Timely and meaningfully documents claim activity in the claim file notes
• Maintains an active diary on all open claims
• Manages resources to maximize cost savings and identify cost control opportunities
• Identifies files with subrogation potential and refers to appropriate department to pursue recovery

Requirements

• High school graduate
• 1 - 3 years of experience as a workers’ compensation claims adjuster
• Knowledge of Florida workers’ compensation statutes, rules and regulations
• Appropriate Florida licensure
• Excellent negotiation and communication skills, to include strong written and verbal communication skills
• General knowledge of litigation terminology
• General knowledge of procedures relating to workers’ compensation claims
• General knowledge of medical terminology
• Demonstrated competency in Microsoft Office products

Preferences

• 3 - 6 years of experience as a workers’ compensation claims adjuster
• Experience with law enforcement claims
• Bachelor’s Degree
• Ability to make presentations
• An effective self-starter who requires minimal to moderate supervision
• Strong analytical and process management skills
• Ability to think critically, solve problems, plan, organize and prioritize activities

Other

• The candidate offered this position will be required to submit to a background investigation.
• This is an in-house position with FSRMF located in Tallahassee, FL; it is not a remote position.
• Valid Florida Driver’s license
• Limited travel is required for this position

Job Type: Full-time

Pay: From $67,000.00 per year

Benefits:

• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Experience:

• workers' compensation claims adjusting: 1 year (Required)

License/Certification:

• Florida Workers' Compensation Adjuster License (Required)

Work Location: In person