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Workers' Compensation Specialist- Hybrid

Job Description

Are you looking for a position with a work/life balance? Do you want to earn four (4) weeks off during your first year of employment? Do you want low and no cost health insurance options? If you answered “yes” to any of these questions, you need to complete your application now. Work for the city you love!!!

The Finance Department is actively seeking one Workers' Compensation Specialist - Hybrid.

Did you know as a City of Jacksonville employee, you would also have twelve (12) paid holidays and a personal leave day as well? In addition to health insurance, dental, vision, life insurance and flexible spending plans are also available. City of Jacksonville employees are also eligible for Federal Student Loan Forgiveness after ten (10) years of public service and on-time payments.

This is technical work in the monitoring, reviewing, investigating, and processing of workers' compensation claims. Work requires knowledge of techniques, methods, and procedures of workers' compensation laws, rules, and regulations and workers' compensation claim processing practices and procedures, which is acquired through a combination of training and considerable on the job training. Contacts with others require skill in understanding and/or influencing employees, doctors, lawyers, and the general public and are important in providing client services, including skills of persuasiveness, assertiveness, and sensitivity to others point of view that are required in the review and processing of workers' compensation claims. Work is standardized in that tasks are covered by substantially diversified procedures and, because of changing priorities or differing situations, the employee has the latitude to consider which of many procedures should be followed and in what sequence. The work involves differing situations requiring use of judgment in search for solutions or new applications within ones' known experiences. Work is performed in an office environment. Operates standard office equipment such as personal computer. Physical demands consist of sitting or standing at a workstation for extended periods of time, using standard office equipment on an ongoing basis, and occasionally lifting and moving light objects weighing less than 25 pounds. Work is performed under limited supervision where the work assignments are subject to established procedures, practices, precedents, methods, techniques and well-defined policies, the worker plans and organizes the work and determines priorities, and the work is reviewed, usually after the fact, in terms of quality, timeliness, and adherence to established methods and policies.

Examples of Work

Monitors, reviews, and processes workers' compensation claims.
Reviews medical bills and other services for which claims are made for reasonableness and conformity to the appropriate medical and surgical fee schedule.
Responds to audits and manages field investigations of workers' compensation claims.
Authorizes and prepares payments of approved claims.
Identifies and recommends claims for subrogation and excess insurance carrier claims reporting.
Calculates and recommends workers' compensation case reserves for the Self-Insurance Fund.
Oversees and monitors rehabilitation of claimants for compliance with workers' compensation laws, rules, and regulations.
Compiles data for and prepares written reports and oral presentations.
Establishes and maintains workers' compensation claim files and records.
Responds to inquiries regarding workers' compensation claims and related issues.
Provides technical assistance to medical providers, lawyers, government agencies, and the general public.
Operates standard office equipment such as personal computer using word processing, spreadsheet, database, and other related software, calculator, and copy machine.
Demonstrates proficiency in the City of Jacksonville’s competencies.
Performs related work as required.

Knowledge, Skills and Abilities

Knowledge of workers' compensation laws, rules, and regulations.
Knowledge of workers' compensation claims processing practices and procedures.
Ability to apply interviewing and data gathering techniques.
Ability to apply research and analysis techniques.
Ability to read, understand, interpret, and apply workers compensation ordinances, laws, rules, regulations, and other job-related materials.
Ability to develop and maintain workers' compensation forms, files, and records.
Ability to perform mathematical calculations involving algebra and statistics.
Ability to develop computer-based spreadsheets, graphs, and reports.
Ability to communicate effectively, both verbally and in writing.
Ability to establish effective working relationships.
Ability to operate standard office equipment such as personal computer using word processing, spreadsheet, database, and other related software, calculator, and copy machine.

Open Requirements/Supplemental Information

Three (3) years of education, and/or experience in Workers' Compensation, General Liability, automobile liability or claims monitoring, reviewing and processing.

LICENSING/CERTIFICATION/REGISTRATION:

Florida All Lines Claims Adjuster License Is required prior to appointment and must be maintained during employment in this class.

OTHER REQUIREMENTS:

The probationary period for this classification is six months.

A FULLY COMPLETED ONLINE APPLICATION IS REQUIRED. Apply atwww.jacksonville.gov. Work history is required for all employment/volunteer work in which qualifications are being based. When meeting/basing qualifications on education, a copy of your college transcript, with your social blackout, is required with your application. U.S. transcripts do not need to be official, but must state your name, the school’s name, classes taken, grades received, type of degree, and date degree was conferred. Transcripts outside the U.S. must be converted to U.S. standards.

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Certain servicemembers and veterans, and the spouses and the family members of such service members and veterans, receive preference and priority, and certain servicemembers may be eligible to receive waivers for post-secondary educational requirements, in employment and are encouraged to apply for positions being filled.

If claiming veteran's preference, you must attach a DD-214 (Member Form-4 copy) or military discharge papers, or equivalent certification from the Department of Veterans Affairs listing military status, dates of service and character of discharge. You must also attach the Veterans Preference Certification Form and if applicable, the additional forms as noted here:http://www.coj.net/departments/employee-services/veterans-preference.

If a candidate believes he or she was not afforded the veteran’s preference, he or she may file a written complaint, within sixty (60) calendar days upon receipt of notification of the hiring decision, requesting an investigation to:

Florida Department of Veterans Affairs

Attention: Veterans’ Preference Coordinator

11351 Ulmerton Road, Suite 311-K

Largo, FL 33778-1630

Email:VeteransPreference@fdva.state.fl.us

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