City of Jacksonville, FL
Workers' Compensation Specialist Senior
City of Jacksonville, FL, Jacksonville, Florida, United States, 32290
Salary :
$53,064.17 - $58,708.57 Annually
Location :
Jacksonville, FL
Job Type:
Civil Service
Job Number:
2025-06276
Department:
FINANCE
Opening Date:
11/15/2024
Closing Date:
11/21/2024 11:59 PM Eastern
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 Risk Management Division is actively seeking a Workers' Compensation Specialist Senior.
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 advanced technical work in the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability, and statutory presumption files. Work requires an advanced knowledge of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience usually gained through degree granting schools or an equivalent level of practical knowledge gained through experience. 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 to influence behavior, change an opinion or turn a situation around. The work is covered by clearly defined policies and principles where the worker is required to exercise judgment in accomplishing objectives. 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 complex workers' compensation claims that include primarily lost time, permanent total disability, and statutory presumption files.Manage complex workers' compensation litigation case files.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 recoveries and 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 complex workers' compensation claims processing practices and procedures involving lost time, disability, and statutory presumption files.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
OPEN REQUIREMENTS :
Three (3) years of education and/or experience in processing workers' compensation claims.
Must possess a minimum of two (2) years of experience processing complex and/or litigated claims that include primarily lost time, permanent total disability, and statutory presumption files.OTHER REQUIREMENTS:
The probationary period for this classification is six months.
LICENSING/CERTIFICATION/REGISTRATION
:
Florida All Lines Claims Adjuster License is required prior to appointment and must be maintained during employment in this class.A FULLY COMPLETED ONLINE APPLICATION IS REQUIRED.
Apply at 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 blacked out, is required with your application. 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.
The application system works best with Google Chrome or Edge with Chromium web browsers.
Please try to apply using one of these browsers.To ensure you receive email notifications, be sure to make "" a trusted sender. You may also track the status of your application and see notifications by logging into your account. For further information regarding the application process please refer to the Frequently Asked Questions on the website.
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 postsecondary 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:
If a candidate believes he or she was not afforded 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 AffairsAttention: Veterans' Preference Coordinator11351 Ulmerton Road, Suite 311-KLargo, FL 33778-1630Email:
The City of Jacksonville provides a wide array of benefits to meet the diverse needs of our employees. Our comprehensive benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending plans for medical reimbursement, dependent care, parking, and transit expenses; an employee assistance program for you and your dependents; a 457(b) tax-deferred compensation plan to supplement your retirement, and a ROTH IRA plan. We also provide an extensive wellness program that includes a health intervention program if qualified, lunch and learns, health fairs, and discounted gym memberships. Please visit the Employee Benefits website for details on all the plans we offer.
01
Each applicant must complete this supplemental questionnaire as a part of the application screening and selection process. The information you provide will be reviewed and used to determine your eligibility to move forward in the selection process. Copying and pasting your resume or stating "see resume" does NOT fulfill the requirements of the question. Incomplete responses, false statements, omissions, or partial information may result in disqualification from the selection process. Do you agree to answer each supplemental question truthfully and certify that your responses can be verified from information included within the application?
YesNo
02
Are you authorized to work in the United States without sponsorship from the City of Jacksonville either now or in the future?
YesNo
03
This position is located in an office and is not a remote location.
I have read and understand the above statement.
04
The budgeted annual salary for this position is $58,703.00. This is not negotiable. If selected, would you be willing to accept this position at this salary? (Civil Service positions have a 5% increase after successfully completing probation.)
YesNo
05
Do you have a bachelors' degree or higher from an accredited college or university? If yes, you MUST attach your college transcript to your application.
YesNo
06
If you have a degree, indicate which degree you have and include any major/minor. If basing qualifications on education, a copy of your college transcript is required with your application.
07
Do you have three (3) years of education and/or experience in processing workers' compensation claims?
YesNo
08
Provide a detailed description (at least 3-4 complete sentences) of your experience.
09
Indicate the organization(s) you worked for where you gained this experience.
10
Do you have a minimum of two (2) years of experience processing complex and/or litigated claims that include primarily lost time, permanent total disability and statutory presumption files.
Yes, I have 2 year or more experience.No, I have less than 2 years experience.
11
Provide a detailed description (at least 3-4 complete sentences) of your experience.
12
Indicate the organization(s) you worked for where you gained this experience.
13
A State of Florida All Lines Claims Adjuster License is required prior to appointment and must be maintained during employment in this class. NOTE: This is a requirement of the position. You will not be considered unless you possess this license.
I have read the above statement and understand what is required.
14
Attach a copy of your State of Florida All Lines Claims Adjuster License to this application.
I have read the above statement and understand what is required.
15
If you are requesting veterans preference, you MUST download the appropriate state of Florida form (even if you don't live in Florida) and attach it to your application. FAILURE TO DO SO WILL DELAY YOUR VETERANS PREFERENCE STATUS.Please download the forms at http://www.coj.net/departments/employee-services/veterans-preference
Yes, I am claiming veterans preference and I understand that I MUST download the appropriate form and attach it to my application.No, I am not claiming veterans preference and this does not apply to me.
16
If basing qualifications on education, a copy of your college transcript is required with your application. College transcripts do not need to be official, but must state your name, the name of the school, type of degree, classes taken, grades received and date degree was conferred. NOTE: A copy of your diploma does not meet this requirement. Transcripts from colleges outside of the U.S. must be converted to U.S. Standards. If required documents are not provided your application will be considered incomplete and may result in disqualification from the selection process.
I have read the above statement and understand what is required.
Required Question
$53,064.17 - $58,708.57 Annually
Location :
Jacksonville, FL
Job Type:
Civil Service
Job Number:
2025-06276
Department:
FINANCE
Opening Date:
11/15/2024
Closing Date:
11/21/2024 11:59 PM Eastern
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 Risk Management Division is actively seeking a Workers' Compensation Specialist Senior.
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 advanced technical work in the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability, and statutory presumption files. Work requires an advanced knowledge of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience usually gained through degree granting schools or an equivalent level of practical knowledge gained through experience. 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 to influence behavior, change an opinion or turn a situation around. The work is covered by clearly defined policies and principles where the worker is required to exercise judgment in accomplishing objectives. 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 complex workers' compensation claims that include primarily lost time, permanent total disability, and statutory presumption files.Manage complex workers' compensation litigation case files.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 recoveries and 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 complex workers' compensation claims processing practices and procedures involving lost time, disability, and statutory presumption files.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
OPEN REQUIREMENTS :
Three (3) years of education and/or experience in processing workers' compensation claims.
Must possess a minimum of two (2) years of experience processing complex and/or litigated claims that include primarily lost time, permanent total disability, and statutory presumption files.OTHER REQUIREMENTS:
The probationary period for this classification is six months.
LICENSING/CERTIFICATION/REGISTRATION
:
Florida All Lines Claims Adjuster License is required prior to appointment and must be maintained during employment in this class.A FULLY COMPLETED ONLINE APPLICATION IS REQUIRED.
Apply at 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 blacked out, is required with your application. 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.
The application system works best with Google Chrome or Edge with Chromium web browsers.
Please try to apply using one of these browsers.To ensure you receive email notifications, be sure to make "" a trusted sender. You may also track the status of your application and see notifications by logging into your account. For further information regarding the application process please refer to the Frequently Asked Questions on the website.
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 postsecondary 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:
If a candidate believes he or she was not afforded 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 AffairsAttention: Veterans' Preference Coordinator11351 Ulmerton Road, Suite 311-KLargo, FL 33778-1630Email:
The City of Jacksonville provides a wide array of benefits to meet the diverse needs of our employees. Our comprehensive benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending plans for medical reimbursement, dependent care, parking, and transit expenses; an employee assistance program for you and your dependents; a 457(b) tax-deferred compensation plan to supplement your retirement, and a ROTH IRA plan. We also provide an extensive wellness program that includes a health intervention program if qualified, lunch and learns, health fairs, and discounted gym memberships. Please visit the Employee Benefits website for details on all the plans we offer.
01
Each applicant must complete this supplemental questionnaire as a part of the application screening and selection process. The information you provide will be reviewed and used to determine your eligibility to move forward in the selection process. Copying and pasting your resume or stating "see resume" does NOT fulfill the requirements of the question. Incomplete responses, false statements, omissions, or partial information may result in disqualification from the selection process. Do you agree to answer each supplemental question truthfully and certify that your responses can be verified from information included within the application?
YesNo
02
Are you authorized to work in the United States without sponsorship from the City of Jacksonville either now or in the future?
YesNo
03
This position is located in an office and is not a remote location.
I have read and understand the above statement.
04
The budgeted annual salary for this position is $58,703.00. This is not negotiable. If selected, would you be willing to accept this position at this salary? (Civil Service positions have a 5% increase after successfully completing probation.)
YesNo
05
Do you have a bachelors' degree or higher from an accredited college or university? If yes, you MUST attach your college transcript to your application.
YesNo
06
If you have a degree, indicate which degree you have and include any major/minor. If basing qualifications on education, a copy of your college transcript is required with your application.
07
Do you have three (3) years of education and/or experience in processing workers' compensation claims?
YesNo
08
Provide a detailed description (at least 3-4 complete sentences) of your experience.
09
Indicate the organization(s) you worked for where you gained this experience.
10
Do you have a minimum of two (2) years of experience processing complex and/or litigated claims that include primarily lost time, permanent total disability and statutory presumption files.
Yes, I have 2 year or more experience.No, I have less than 2 years experience.
11
Provide a detailed description (at least 3-4 complete sentences) of your experience.
12
Indicate the organization(s) you worked for where you gained this experience.
13
A State of Florida All Lines Claims Adjuster License is required prior to appointment and must be maintained during employment in this class. NOTE: This is a requirement of the position. You will not be considered unless you possess this license.
I have read the above statement and understand what is required.
14
Attach a copy of your State of Florida All Lines Claims Adjuster License to this application.
I have read the above statement and understand what is required.
15
If you are requesting veterans preference, you MUST download the appropriate state of Florida form (even if you don't live in Florida) and attach it to your application. FAILURE TO DO SO WILL DELAY YOUR VETERANS PREFERENCE STATUS.Please download the forms at http://www.coj.net/departments/employee-services/veterans-preference
Yes, I am claiming veterans preference and I understand that I MUST download the appropriate form and attach it to my application.No, I am not claiming veterans preference and this does not apply to me.
16
If basing qualifications on education, a copy of your college transcript is required with your application. College transcripts do not need to be official, but must state your name, the name of the school, type of degree, classes taken, grades received and date degree was conferred. NOTE: A copy of your diploma does not meet this requirement. Transcripts from colleges outside of the U.S. must be converted to U.S. Standards. If required documents are not provided your application will be considered incomplete and may result in disqualification from the selection process.
I have read the above statement and understand what is required.
Required Question