Job Description
Salary : $56,594.10 - $90,324.62 Annually
Location : Fort Lauderdale, FL
Job Type: Full-Time
Job Number: 1414120
Department: 1-Risk Management Division
Opening Date: 01/21/2026
Closing Date: Continuous
Veterans' Preference Notice: Under Section 295.07, Florida Statutes, certain servicemembers and veterans, and the spouses and family members of such servicemembers and veterans, receive preference and priority, and certain servicemembers may be eligible to receive waivers for postsecondary educational requirements, in employment with Broward County and are encouraged to apply for the positions being filled.
International Degree Verification: International degrees must be evaluated by an approved member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE) Candidates are responsible for all evaluation expenses. Completed evaluations do not guarantee employment and are subject to approval by Broward County Human Resources.
REQUIREMENTS AND PREFERENCES The Broward County Board of County Commissioners is seeking qualified candidates for Claims Adjuster in the Risk Management Division. We are seeking a detail-oriented and customer-focused
Worker's Compensation Claims Adjuster to join our team. In this role, you will investigate, evaluate, and settle insurance claims in accordance with company policies and regulatory requirements. You will work closely with policyholders, legal representatives, and other stakeholders to ensure fair and timely resolution of claims.
Benefits of Broward County Employment High-Deductible Health Plan - bi-weekly premiums:
Single $10.90 / Family $80.79
Includes a County Funded Health Savings Account of up to $2000 Annually
Consumer Driven Health Plan - bi-weekly premiums:
Single $82.58 / Family $286.79
Florida Retirement System (FRS) - Pension or Investment Plan 457 Deferred Compensation employee match
Eleven (11) paid holidays each year
Vacation (Paid Time Off) = 2 weeks per year
Up to 40 hours of Job Basis Leave for eligible positions
Tuition Reimbursement (Up to 2K annually)
General Description Performs advanced specialized technical work in the investigation and adjustment of public liability and/or Workers' Compensation claims.
Works under general supervision, independently developing work methods and sequences.
The Workers Compensation Adjuster calculates/processes disability benefits for impairment ratings of 1% or more when issuing benefits to avoid penalties. Sets up medical claims to document/update current work status and treatment. Monitors/obtains medical records and work status to ensure timely calculation and payment of indemnity and impairment ratings, complete State EDI mandated reporting within regulated time frames to avoid penalties. Processes employee-received notices of outstanding medical bills to resolve non-payment issues. Reviews/corrects reporting by Center of Medicare/Medicaid Services (CMS) for accuracy.
Minimum Education and Experience Requirements Requires two (2) years equivalent of higher-level education in workers' compensation and/or general liability claims adjusting and insurance/risk management.
(One year of relevant experience may be substituted for each year of required education.) Requires four (4) years in adjusting workers' compensation and/or bodily injury/property damage liability claims or closely related experience.
Special Certifications and Licenses 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.
Must possess and maintain a valid Florida Class E Driver's License for duration of appointment.
Preferences -Associates in Claims (AIC) Certificate.
-Certified Insurance Counselors (CIC) or Chartered Property Casualty Underwriter (CPCU).
-Certification in Workers' Compensation (CWC).
-Accredited Claims Adjuster (ACA).
-Bachelor's degree or higher in related field
- 2 or more years of experience in recorded statements.
- 2 or more years of experience responding to Conditional Payment demands from the Center for Medicare Services.
-2 or more years of experience negotiating workers' compensation lien recoveries.
SCOPE OF WORK The functions listed below are those that represent the majority of the time spent working in this class. Management may assign additional functions related to the type of work of the job as necessary.
For Workers Compensation claims the adjuster will contact the injured employee, employer, and medical provider to document the claim. For Liability claims the adjuster will contact the claimant, the division and any witnesses.
The Workers Compensation Adjuster calculates/processes disability benefits for impairment ratings of 1% or more when issuing benefits to avoid penalties. Sets up medical claims to document/update current work status and treatment. Monitors/obtains medical records and work status to ensure timely calculation and payment of indemnity and impairment ratings, complete State EDI mandated reporting within regulated time frames to avoid penalties. Reviews/corrects reporting by Center of Medicare/Medicaid Services (CMS) for accuracy.
Contacts injured employee, employer, and medical provider to document claim. Conducts field investigations, face-to-face statements with employees, employer representatives and witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claim.
Consults on injury cases with various medical personnel in order to ascertain the extent and cost of treatment, loss of earning capacity and prognosis confers with County physician on employment limitations.
Performs the calculation and payment of benefits whether indemnity and/or medical benefits, including entering all payments for benefits.
For disability more than 8 days, initiates timely electronic filings to Division of Workers' Compensation.
Calculates/processes timely disability benefits and impairment ratings of 1% or more when given to issue benefits to avoid penalties.
Authorizes/coordinates medical treatment with walk-in facilities and specialists to update claim.
Processes outgoing letters to injured employees and medical providers and places them on notice of action taking place.
Sets up medical only claims to document/update current work status and treatment.
Monitors work status for a disability of 7 days or less through discharge for closing a claim.
Processes employee-received notices of outstanding medical bills to resolve non-payment issues.
Monitors/obtains discharge papers for impairment ratings and issues benefits when owed and paid within mandated timeframe to avoid penalties.
Denies/processes claims for non-work-related injuries with timely electronic filing to avoid penalties.
Conducts recorded interviews with employees and witnesses.
Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability; reviews and analyzes Liability and/or Workers' Compensation claims and recommends appropriate action.
Coordinates the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at accident scene; arranges for witnesses to appear at legal proceedings; and prepares accident reports.
Negotiate claim settlements with the Director of Risk Management, the County Administrator, the County Attorney, claimants and/or their legal teams. Attend mediations with the County Attorney's office to support the claims process.
Provide advice regarding potential fraud, subrogation, and underwriting/safety risk, and communication with counsel.
Analyze complex information from different sources, such as police reports, videos from surveillance cameras or audio, and other information to further understand the incident.
Make decisions for approval of medical treatments and property restoration. Make determinations on liability or compensability for Workers Compensation claims. Apportion percentage of liability and negotiate settlement with claimant or claimant's attorney or Liability Claims.
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
Investigates liability claims, inputs data into the system association with findings.
Attends meetings with other Divisions, Professional Standards/Human Rights Section (PS/HRS), and Human Resources to discuss complex claims.
Performs related work as assigned.
WORK ENVIRONMENT Physical Demands Physical demands refer to the requirements for physical exertion and coordination of limb and body movement.
Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.
Unavoidable Hazards (Work Environment) Unavoidable hazards refer to the job conditions that may lead to injury or health hazards even though precautions have been taken.
None.
SPECIAL INFORMATION Competencies Interprets and applies key financial indicators to make better business decisions. Determines and estimates the main direct and indirect costs; makes generally appropriate decisions regarding expenditures. Studies financial and quantitative information; uses data to improve performance.
Makes good and timely decisions that keep the organization moving forward. Knows when to act independently and when to escalate issues. Integrates various inputs, decision criteria, and trade-offs to make effective decisions. Typically makes good independent decisions.
Knows the most effective and efficient processes to get things done, with a focus on continuous improvement. Uses metrics and benchmarks to monitor accuracy and quality. Takes steps to make methods productive and efficient. Promptly and effectively addresses process breakdowns.
Holds self and others accountable to meet commitments. Accepts responsibility for own work, both successes and failures. Handles fair share and does not make excuses for problems. Usually meets commitments to others.
Consistently achieves results, even under tough circumstances. Holds self to high standards of performance; sets some challenging goals; wants to achieve meaningful results; pursues initiatives/efforts to successful completion and closure. Focuses on key goals, even during setbacks and obstacles.
Handles conflict situations effectively, with a minimum of noise. Seeks out a variety of opinions and options; maintains an open mind; takes steps to ensure conflict remains constructive; avoids polarized or unilateral decisions; seeks agreement on critical issues.
Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences. Tailors communication content and style to the needs of others. Pays attention to others' input and perspectives, asks questions, and summarizes to confirm understanding.
Adapts approach and demeanor in real time to match the shifting demands of different situations. Takes steps to adapt to changing needs, conditions, priorities, or opportunities. Understands the cues that suggest a change in approach is needed; adopts new behaviors accordingly.
County Core Values All Broward County employees strive to demonstrate the County's four core behavioral competencies.
- 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. Broward County is committed to providing equal opportunity and reasonable accommodations to qualified persons with disabilities. We support the hiring of people with disabilities; therefore, if you require assistance due to a disability, please contact the Professional Standards Section in advance at 954-357-6500 or email Profstandards@broward.org to make an accommodation request.
Emergency Management Responsibilities Note: During emergency conditions, all County employees are automatically considered emergency service workers. County employees are subject to being called to work in the event of a disaster, such as a hurricane, or other emergency situation and are expected to perform emergency service duties, as assigned.
County-wide Employee Responsibilities All Broward County employees must serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of Broward County's Employee Code of Ethics, gift, and conflict of interest policies.
All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.
Broward is a dynamic county that offers an exciting, stable career with incredible employee benefits such as 11 annual holidays, accrued annual/vacation and sick leave, FRS retirement, $50,000 of County-paid life insurance, training and development, and participation eligibility in a deferred compensation (457) plan with a match up to $2,000. In addition, Broward County offers 2 health plans, a High Deductible Health Plan (HDHP) with a County-funded Health Savings Account (HSA), and a Consumer Driven Health plan (CDH), Dental insurance, Vision insurance and Section 125 Flexible spending accounts for Medical Expenses and Dependent Care. Employees who are hired into a full-time, or part-time position working 20 hours per week, are considered benefits-eligible. Benefits become effective on the first of the month following 30 days of employment.
01
What is your highest level of education obtained in insurance, risk management, or closely related field?
- Associates Degree
- Bachelor's Degree
- Master's Degree
- Doctorate Degree
- No Degree
02
How many years of experience do you have in adjusting workers' compensation and/or bodily injury/property damage liability claims in public sector entity or closely related experience?
- 8 or more years
- 6-7 years
- 4-5 years
- less than 4 years
03
Do you have a Florida All-Lines Adjusters License (Type 6-20 or 7-20) from the State of Florida Division of Insurance Agent and Agency Services?
04
Do you have a valid Florida Class E Driver's License?
05
Do you have experience in Florida's Workers' Compensation adjustments specifically in a public sector entity? If so, specify the number of years, types of injuries, open inventory and incoming claim numbers. If none, type "N/A".
06
Describe your experience with claims that require an MSA and claims that require a CMS confirmation.
07
What was your reserve-setting authority in your previous role? How do you determine initial reserves, and what factors guide you in adjusting them throughout the claim?
08
List 3-5 important questions that should be asked during a recorded interview of an injured worker who is alleging a shoulder injury?
09
Have you encountered a Best Practice Audit within the last five years? If so, please describe your experience. What was your action plan when notified of opportunities for improvement? If not, type "N/A".
10
What has been your experience with the Florida EDI process? Please describe your EDI tasks in your current or last position.
11
What has been the most challenging obstacle in your adjuster's experience and how did you handle that challenge?
12
Please list all claims processing systems you have used. Which is your favorite and why?
13
Briefly describe your litigation claims handling experience. Include in your description deposition or testimony experience before the JCC.
14
Do you have experience writing comprehensive reports to management or excess carriers? If so, describe your experience. If none, type "N/A".
15
Please share any additional information about you that would be pertinent in considering you for this position.
Required Question
Job Tags
Full time, Part time, Work at office, Flexible hours, Shift work