State of Florida · 1 day ago
REGULATORY ANALYST II - 43001687
Tallahassee, FL
Full-time
Onsite
Entry, Mid Level
$40K/yr - $40K/yr
2+ years expThe State of Florida is seeking a Regulatory Analyst II to work within the Division of Workers’ Compensation. This role involves investigating and monitoring the business practices of insurance carriers and employers to ensure compliance with Workers’ Compensation laws and procedures.
Government Administration
Responsibilities
Communicate by telephone or by certified demand letter for resolution when the penalized party has not paid or protested the assessment within the 20 days provided for in section 440.021, Florida Statutes
Conducts investigations to acquire facts needed to issue penalty assessments against employers for violations of requirements for making timely benefit payments to injured workers and violations of document filing requirements
Conducts investigations and monitors carrier/TPA late indemnity payments and late filings with the Division to acquire facts needed to issue penalty assessments, documents penalty claims reviews, and requests various forms required by law for claim clarification and/or correction
Credit payments to the proper case and request Department refunds when the assessment is incorrectly paid, or the claimant’s portion of the assessment is sent to the Department
Contacts by telephone employees, employers, insurance carriers/TPA’s, other Division of Workers’ Compensation Bureaus, attorneys, and other sources for information regarding employee/employer relationships, employer and carrier liability, claims process, etc., to determine validity of evidence to issue an action to reduce or revoke a penalty or deny a claim protest
Performs investigations of complaints regarding violations of the Workers’ Compensation Law and Division rules as assigned by the Insurance Administrator and assignments referred to the Penalty Section from other governmental agencies
Investigates and monitors Workers’ Compensation carrier practices, identifying and documenting patterns and trends of violation and recommends to the Insurance Administrator the action necessary to bring such practices into compliance
Provides interpretation of the Workers’ Compensation Law, rules, and procedures regarding penalty assessments and advises employers, carriers/TPA’s of their rights and responsibilities under the Law in effect on the date of an employee’s accident
Prepares and maintains a permanent record of all actions taken and decisions issued for inclusion in any hearings before Judges of Compensation Claims, county court judges, and statistical purposes
Assists legal office in preparing cases for hearings by preparing detailed reports of progress and investigation results, and attends hearings, providing testimony when necessary
Performs Other Related Duties As Required
Qualification
Required
Two (2) years of experience in a relevant field (i.e. medical billing, medical reporting, risk management, insurance, claims handling, financial accounting or auditing) is required
A post-secondary degree from an accredited college or university may substitute for the required work experience
Ability to prepare correspondence independently using Microsoft Word computer program
Ability to apply fundamental math procedures to calculate penalty assessments and verify computer calculations
Ability to review certain document evidence and determine accuracy and validity
Knowledge of the principles and techniques of effective verbal and written communication
Ability to communicate effectively
Ability to establish and maintain effective working relationships with others
Ability to plan, organize and coordinate work activities
Knowledge of methods of compiling, organizing, and analyzing data
Ability to maintain a high degree of accuracy and close attention to detail
Ability to understand and apply applicable rules, regulations, policies, and procedures
Ability to handle telephone calls in a prompt, courteous and effective manner
Ability to deal with the public in a tactful and courteous manner
Preferred
Two (2) or more years of experience working with Microsoft Office
One (1) or more years of experience in medical billing, risk management, insurance claims handling, financial accounting or auditing
One (1) or more years of regulatory experience
One (1) or more years of Electronic Data Interchange knowledge and experience
One (1) or more years of workers' compensation claims experience
Company
State of Florida
The State of Florida is an online telephone and email directory for state government agencies and employees in Florida.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Richard Herstein, MD, MHA, MBA
Chief Hospital Administrator (CEO) and Chief Medical Officer (CMO)
Jimmy Patronis
Chief Financial Officer
Recent News
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