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Hillsborough County Government

Claims Service Rep II (#CLMRP2GENK) GENK
$15.15-$24.06 Hourly / $2,626.00-$4,170.40 Monthly / $31,512.00-$50,044.80 Yearly




JOB OVERVIEW

Performs administrative duties in the review and processing of liability and Workers' Compensation claims.

MINIMUM QUALIFICATIONS

Graduation from high school or possession of a GED Certificate; and
Three years of experience in liability or Workers’ Compensation claims service work.

Or
An equivalent combination of education, training and experience that would reasonably be expected to provide the job-specific competencies noted below.

CORE COMPETENCIES

  • Customer Commitment - Proactively seeks to understand the needs of our customers and provide the highest standards of service.
  • Dedication to Professionalism and Integrity - Demonstrates and promotes fair, honest, professional and ethical behaviors that establishes trust throughout the organization and with the public we serve.
  • Organizational Excellence - Takes ownership for excellence through one's personal effectiveness and dedication to the continuous improvement of our operations.
  • Success through Teamwork - Collaborates and builds partnerships through trust and the open exchange of diverse ideas and perspectives to achieve organizational goals.

JOB SPECIFIC COMPETENCIES

  • Working knowledge of Workers’ Compensation claims processing rules and regulations.
  • Ability to work effectively with the public and staff.
  • Ability to collect, organize and evaluate data and to develop logical conclusions.
  • Ability to prioritize work.
  • Ability to handle confidential information.
  • Ability to use a computer and related software.
  • Ability to prepare and maintain work related records and reports.
  • Ability to communicate effectively both orally and in writing.

REPRESENTATIVE DUTIES

Note: The following duties are illustrative and not exhaustive. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. Depending on assigned area of responsibility, incumbents in the position may perform one or more of the activities described below.

  • Reviews and processes automobile, general liability and Workers’ Compensation claims.
  • Follows procedures for wage determination, liability, claimant and health care provider payments, coordination with payroll and finance staff, physical standards determination and the formulation of policies and regulations.
  • Coordinates with County Attorney's Office on claims litigation.
  • Maintains information on County, State and Federal Workers’ Compensation rules and regulations.
  • Coordinates Workers’ Compensation and employee termination processing actions with claimants, attorneys and health care providers.
  • Prepares claims and negotiated settlement documentation for health care providers medical authorizations, rehabilitation counselors and claimants.
  • Advises agencies and department personnel in the preparation of state forms and payroll reporting.
  • Performs other related duties as required.

This classification description is not intended to be, nor should it be construed as an all inclusive list of the duties associated with a particular position. Management may require incumbents to perform job duties other than those contained in this document at any time.


CLASS: CLMRP2GENK; EST: 2/3/1999; REV: 10/11/2011;