Job Description

Requisition No: 835904 

Agency: Financial Services

Working Title: INSURANCE SPECIALIST III (PENALTY AUDITOR) - 43003321

 Pay Plan: Career Service

Position Number: 43003321 

Salary: $48,000.00 - $80,462.16 

Posting Closing Date: 08/29/2024 

Total Compensation Estimator 

*****OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY*****

WORKING TITLE: PENALTY AUDITOR

CLASS TITLE: INSURANCE SPECIALIST III

DIVISION: WORKERS’ COMPENSATION

BUREAU: COMPLIANCE

CITY: TALLAHASSEE

COUNTY: LEON

We anticipate filing multiple positions from this advertisement.

Four (4) years of experience in a relevant field (Insurance, auditing, accounting, or workers’ compensation) is required . A bachelor’s degree from an accredited college or university may substitute for the required work experience.

Preferences :

• One (1) or more years of experience in accounting and/or auditing.
• One (1) or more years of experience with Microsoft Excel.
• One (1) or more years of experience with workers' compensation and/or Chapter 440 of the Florida Statutes.
• Bi-lingual with the ability to fluently speak and write Spanish and English.

SPECIAL NOTES:

This position requires a security background check, including fingerprinting, as a condition of employment.

This position requires the incumbent of this position to have access to the Department of Economic Opportunity (DEO) SunTax data. As such, a Level 2 background check is required every five (5) years.

Regarding anticipated starting salary, the Division of Workers’ Compensation typically hires at or near the minimum, unless an incumbent possesses direct and relevant experience in the job that they are a candidate for. The Division is prepared to negotiate the salary depending upon the candidates’ direct and relevant experience.

Employees of the Department of Financial Services are paid on a monthly pay cycle.

Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.

MINIMUM QUALIFICATIONS FOR THIS POSITION INCLUDE THE FOLLOWING REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS, AND ABILITIES:

Ability to collect, analyze and interpret data; work independently; utilize problem solving techniques and conduct fact finding investigations; collect and compile information; plan, organize and coordinate work assignments; prepare and maintain records for auditing purposes; examine and evaluate data; understand and apply applicable rules, regulations, policies, and procedures. Ability to communicate verbally and in writing; prepare and generate clear and understandable written communication; handle telephone calls in a fast, courteous manner; communicate effectively; establish and maintain effective working relationships with others. Skill in using personal computers; using phone system; running copy machine. Knowledge of methods of compiling and organizing and analyzing data; various Microsoft programs and applications.

Other KSAs (Incumbent may learn on the job): Ability to proficiently utilize Excel. Knowledge of workers’ compensation compliance rules and procedures. Ability to calculate non-compliance penalties in accordance with 440.107, Florida Statute and 69L-6 of the Florida Administrative Code.

BRIEF DESCRIPTION OF DUTIES :

The Insurance Specialist III (Workers’ Compensation Penalty Auditor) is responsible for

• Examining and interpreting insurance documents to determine workers’ compensation insurance coverages, exclusions, and premiums.

• Calculates insurance premiums to determine penalties for evading the workers’ compensation insurance coverage requirements. To calculate premiums, the Insurance Specialist reviews and analyzes employer’s business records (such as payroll journals, bank statements, cash ledgers, taxes, etc.) to calculate penalties for workers’ compensation insurance non-compliance in accordance with S. 440.107(7)(e) and Rule 69L-6.028.
• Accesses and utilizes various databases (such as Division of Corporations, Sunbiz and Department of Revenue Suntax Portal) to conduct the audit of the employer’s records.
• Collects evidence relating to questionable insurance transactions regarding workers’ compensation insurance coverage requirements.
• Utilizes Microsoft Excel to compile and analyze data found in business records and insurance documents relating to the workers’ compensation insurance requirements to be able to determine evaded insurance premiums.
• Reviews workers’ compensation insurance policy information to validate eligibility of policy credit based on initial payment to acquire workers’ compensation insurance pursuant to statutes.
• Assigns class codes to employers by using the National Council on Compensation Insurance (NCCI) Scopes Manual and investigative report.
• Calculates the penalty for evaded workers’ compensation insurance premiums according to the applicable laws and rules.
• Writes narratives explaining the methodology used to calculate the penalty for evading workers’ compensation insurance requirements.
• Submits penalty calculation for approval.
• Liaison with District Facilitators.
• Conduct workers’ compensation insurance coverage checks on employers, when required.
• Provides insurance information and responds to inquiries about workers’ compensation insurance coverage requirements and exemptions.
• Provides testimony and witness preparation, as needed, in cases that are challenged pursuant to Chapter 120, Florida Statutes.
• Assist supervisors in workers’ compensation insurance presentations and other informational events.
• As required, conducts investigations of employers to determine if the employer is failing to secure the payment of compensation, understating or concealing payroll, materially misrepresenting or concealing employee duties to avoid proper classification for premium calculations, or materially misrepresenting or concealing information pertinent to the computation and application of an experience rating. (s. 440.07 F.S.)
• Other duties assigned by the audit management team or Bureau Chief.

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here . All documentation is due by the close of the vacancy announcement. 

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