Claims Adjuster-Worker's Compensation

Requirements And Preferences

The Broward County Board of County Commissioners is seeking qualified candidates for Claims Adjuster in the Risk Management Division. The position requires two (2) years equivalent of higher-level education in workers' compensation and/or general liability claims adjusting and insurance/risk management, or four (4) years in adjusting workers' compensation and/or bodily injury/property damage liability claims or closely related experience. Possession/retention of a Florida All-Lines Adjuster's License (Type 6-20 or 7-20) from the State of Florida Division of Insurance Agent and Agency Services is also required.

• Associates in Claims (AIC) Certificate.
• Certified Insurance Counselors (CIC) or Chartered Property Casualty Underwriter (CPCU).
• Certification in Workers' Compensation (CWC).
• Accredited Claims Adjuster (ACA).

Preferences include two (2) years of experience in recorded statements, responding to Conditional Payment demands from the Center for Medicare Services, negotiating workers' compensation lien recoveries, and conducting field investigations, face-to-face statements, and consults on injury cases with various medical personnel.

Scope Of Work

The Workers Compensation Adjuster investigates, evaluates, and settles insurance claims in accordance with company policies and regulatory requirements. They contact the injured employee, employer, and medical provider to document the claim, calculate/process disability benefits for impairment ratings of 1% or more, set up medical claims, monitor/obtain medical records and work status, review/correct CMS reporting, and process employee-received notices of outstanding medical bills.

For liability claims, they conduct field investigations, face-to-face statements with employees, employer representatives, and witnesses, analyze reports of accidents, coordinate the gathering of formal evidence, attend mediations, and provide advice regarding potential fraud, subrogation, and underwriting/safety risk.

Special Information

Competencies include Financial Acumen, Decision Quality, Optimizes Work Processes, Drives Results, and Communicates Effectively. Situational Adaptability is also important, as the adjuster must adapt to changing needs, conditions, priorities, or opportunities.

County Core Values

Collaborates: Building partnerships and working collaboratively with others to meet shared objectives. Customer focus: Building strong customer relationships and delivering customer-centric solutions. Instills trust: Gaining the confidence and trust of others through honesty, integrity, and authenticity. Values differences: Recognizing the value that different perspectives and cultures bring to an organization.

Americans With Disabilities Act (ADA) Compliance

Broward County is an Equal Opportunity Employer committed to inclusion. The County supports the hiring of people with disabilities and provides reasonable accommodations to qualified individuals with disabilities upon request.

Emergency Management Responsibilities

All Broward County employees are automatically considered emergency service workers during disaster situations. Employees are expected to perform emergency service duties as assigned.