State of Florida · 1 day ago
VICTIM COMPENSATION CLAIMS ANALYST - 41000609
Tallahassee, FL
Full-time
Onsite
Entry Level
$42K/yr - $42K/yr
3+ years expThe State of Florida's Office of the Attorney General is seeking a Victim Compensation Claims Analyst to process claim and payment determinations in the Bureau of Victim Compensation. The role involves resolving compensability issues, determining eligibility for victim compensation benefits, and effectively managing inquiries related to claims.
Government Administration
No H1B
U.S. Citizen Only
Responsibilities
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. Identify potential subrogation activities, and handle refund/recoupment/restitution issues as needed
Respond to inquiries and concerns received via telephone, email, fax, or mail, within two business days of receipt. 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. Demonstrate sensitivity and awareness while adhering to confidentiality practices. Recognize obligations in the transparency of public records laws to record activities in a concise and impartial manner
Perform Automated Call Distribution duties as needed
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. Alternatively, if assigned to returning calls, resolve within 48 hours the message was received
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. Demonstrate sensitivity and awareness while adhering to confidentiality practices. Recognize obligations in the transparency of public records laws to record activities in a concise and impartial manner
Based on monthly statistical reports, achieve quantitative measurements of aptitude no less than the minimum range averaging 52 - 62 live/return calls daily
Complete special projects as requested and finalize directives within established time frames
Qualification
Required
Three (3) years of relevant clerical or administrative experience in the areas of: accounting; claims processing; claims or benefits eligibility determination; social or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing eligibility and benefit payments
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
Good communication skills (verbal and written)
Favorable results on a background investigation including fingerprinting
U.S. citizenship or lawful authorization to work in the U.S
Preferred
Fluency in Spanish
Benefits
Annual and Sick Leave benefits.
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 www.myfrs.com ).
Flexible Spending Accounts
Tuition waivers.
And more! For a more complete list of benefits, visit www.mybenefits.myflorida.com .
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
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