Caltech Acceptance Rate Jobs in Usa

B

Claims Adjuster (Liability)

Salary not disclosed

Fort Lauderdale, FL 4 days ago

REQUIREMENTS AND PREFERENCES

The Broward County Board of Commissioners Risk Management Division are seeking a detail-oriented and experienced Claims Adjuster to manage Liability claims for [Broward County]. This role involves investigating, analyzing, and resolving claims while ensuring compliance with state regulations and organizational policies. The ideal candidate will have strong negotiation skills, analytical ability, and experience handling complex 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.

Key Responsibilities

Review and analyze accident reports, property damage, and bodily injury claims to determine liability.
Investigate Workers' Compensation and Liability claims, including gathering evidence, interviewing witnesses, and reviewing police reports and medical records.
Negotiate claim settlements with internal leadership, legal teams, and claimants.
Attend mediations and provide support to the County Attorney's office during the claims process.
Authorize and coordinate medical treatment, property restoration, and other claim-related actions.
Calculate and process indemnity and medical benefits, impairment ratings, and ensure timely payments to avoid penalties.
Monitor work status, medical treatment, and discharge papers for accurate claim closure.
Identify potential fraud, subrogation opportunities, and underwriting/safety risks.
Maintain accurate documentation and comply with state-mandated reporting requirements.
Collaborate with medical professionals, internal divisions, and legal counsel on complex cases.

Performs related work as assigned.

Minimum Education and Experience Requirements

Requires two (2) years equivalent of higher-level education from an accredited college or university with major coursework in insurance, risk management, or closely related field.
(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 Adjusters 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.

Preference-Associate in Risk Management - (ARM)
-Certified Insurance Counselors (CIC)
-Chartered Property Casualty Underwriter (CPCU)
-Accredited Claims Adjuster (ACA).
-Associates in Claims (AIC) Certificate.
-Claims handling in Clearsight Enterprise claims software
-2+ years of experience handling subrogation claims
-Bachelor's degree or higher in relevant field

SCOPE OF WORK

Duties and Responsibilities

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.

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.

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.

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.

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.

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.

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 Attorneys office to support the claims process.

Provide advice regarding potential fraud, subrogation, and underwriting/safety risk, and communication with counsel.

Authorizes/coordinates medical treatment with walk-in facilities and specialists to update claim.

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 approvals 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.

Calculates/processes timely disability benefits and impairment ratings of 1% or more when given to issue benefits to avoid penalties.

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/obtains discharge papers for impairment ratings and issues benefits when owed and paid within mandated timeframe to avoid penalties.

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.

Reviews/corrects reporting by Center for Medicare/Medicaid Services (CMS) for accuracy.

Denies/processes claims for non-work related injuries with timely electronic filing to avoid penalties.

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.

For disability more than 8 days, initiates timely electronic filings to Division of Workers' Compensation.

Conducts recorded interviews with employees and witnesses.

Attends meetings with other Divisions, Professional Standards/Human Rights Section (PS/HRS), and Human Resources to discuss complex claims.

Performs related work as assigned.

Competencies

Financial Acumen: 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.
Decision Quality: 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.
Optimizes Work Processes: 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.
Ensures Accountability: 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.
Drives Results: 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.
Manages Conflict: 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.
Communicates Effectively: 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.
Situational Adaptability: 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.

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

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 or email to make an accommodation request.

County-wide Emergency 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.

Not Specified

H

Licensed Clinical Psychologist

🏢 Headway

Salary not disclosed

Hialeah, FL 3 days ago

Job Description

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Licensed Clinical Psychologist

Wage: Between $95-$180 an hour

Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.

About you

● You’re a fully-licensed Clinical Psychologist at a Master’s level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.

● You’re ready to launch a private practice, or grow your existing business by taking insurance.

About Headway

Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.

How Headway supports providers

- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.

- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.

- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.

- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.

- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.

- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.

- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.

How Headway supports your clients

● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.

● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.

Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license.

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Not Specified

U

Lecturer & Teacher-Special Programs - Graduate School of Journalism

🏢 University of California-Berkeley

Salary not disclosed

Berkeley, CA 3 days ago

Position overview

Salary range:
The posted UC academic salary scales set the minimum pay at appointment. See the following table for the salary scale for this position: . The current full-time annual salary range for Lecturer positions is $70,977 - $199,772. TSPs are paid at an hourly rate. Hourly rates range from $45- $60 per hour.

Percent time:
Part-time; varies depending on course.

Anticipated start:
Lecturers hired to teach during the Academic Year are employed from July through June. Lecturers hired to teach during the Fall semester are employed from August through December. Lecturers hired to teach during the Spring semester are employed from January through May. Summer Sessions appointments start a various times throughout the summer.

TSPs hired to teach during the Fall semester are employed as soon as mid- August through mid-December. TSPs hired to teach during the Spring semester are employed from mid-January through mid-May.

Position duration:
One semester, academic year, or Summer Session

Application Window

Open date: January 5, 2026

Most recent review date: Sunday, Jan 25, 2026 at 11:59pm (Pacific Time)

Applications received after this date will be reviewed by the search committee if the position has not yet been filled.

Final date: Tuesday, Jan 5, 2027 at 11:59pm (Pacific Time)

Applications will continue to be accepted until this date, but those received after the review date will only be considered if the position has not yet been filled.

Position description

The School of Journalism at the University of California, Berkeley is accepting applications for qualified temporary, part-time instructors to teach both during the regular academic-year year and in our Summer Minor program. Applicants will be reviewed for positions as needs arise. As a professional school, the School of Journalism is seeking practitioners to bring real-world experience to the classroom. Among the needs we generally have, we are often seeking practitioners with skills in:

- News writing and reporting, either in daily reporting or long-form narrative writing.

- Video news, including documentary filmmaking or short form video storytelling.

- Audio news, including podcasting, radio reporting, audio editing or sound design.

- Multimedia storytelling, including visual design, audience engagement, social media, emerging story forms like VR/AR, and mobile platforms.

- Data journalism, including data visualization, data coding (Python or R), spreadsheets, public records, and similar tools used for data-driven stories.

- Topical expertise, including but not limited to climate change, science, politics, business, race and inequality, investigative reporting, or other topical expertise.

The School seeks candidates who can support the success of all students through inclusive curriculum, classroom environment, and pedagogy. Instructors will be offered pedagogical training on inclusive teaching practices to ensure their teaching materials come from the widest range of perspectives.

Appointments for primary instructors will be made in the Lecturer title. Time commitments vary depending on the class, but are typically one day a week of teaching for two or three hours. Other duties include ancillary responsibilities like holding office hours, assigning grades, attending appropriate meetings / orientations, advising students, preparing course materials (e.g., syllabus), and maintaining a course website. Candidates may also be considered for hourly appointments as Teacher-Special Programs (TSP). TSPs teach a narrow subject as part of another course, or assist courses in other ways. Time commitments for TSPs vary, and in most cases are only for a limited period of the semester.

Unless otherwise noted, it should be expected that classes will be held in-person so candidates will be required in most cases to physically teach at UC Berkeley campus. Please refer to our job openings link for any limited remote-teaching opportunities.

School:

Job Openings: people-resources/jobs/

Qualifications

Basic qualifications (required at time of application)

Bachelor's degree or equivalent international degree, or 10 years of professional journalism experience.

Additional qualifications (required at time of start)

Advanced degree, Bachelor's degree (or equivalent international degree) plus five years of professional journalism experience, or 10 years of professional journalism experience.

Preferred qualifications

Bachelor's degree (or equivalent international degree) and 10 years of professional journalism experience, or journalism-adjacent experience. Ideal candidates will have worked as journalists, or in journalism-adjacent environments, and have experience in publishing, editing, or creating content for public consumption. Teaching and mentorship experience is preferred but not required, and may include college teaching, conference workshops, mentorship programs, or other forms of instruction.

In addition, a demonstrated record of professional achievement, such as significant published work, journalism awards, or other accomplishments is preferred.

Application Requirements

Document requirements

Curriculum Vitae - Your most recently updated C.V.
Cover Letter (Optional)
Statement of Teaching - Please discuss prior teaching experience, teaching approach, and future teaching interests. This can include, for example, specific efforts, accomplishments, and future plans to support the success of all students through curriculum, classroom environment, and pedagogy to support a wide range of experience and backgrounds.

If there is no teaching experience, please discuss your teaching approach and values you plan to uphold in the classroom setting/as an educator.

You are encouraged to specify a preferred course(s) in your cover letter. Please note that the department reserves the right to assign candidates the course(s) for which they are best suited, as determined by their application materials and interview.

Reference requirements

3 required (contact information only)

Candidates will be notified before the references are contacted and only after an interview is performed.

Apply link:
JPF05242

Help contact:

About UC Berkeley

UC Berkeley is committed to diversity, equity, inclusion, and belonging in our public mission of research, teaching, and service, consistent with UC Regents Policy 4400 and University of California Academic Personnel policy (APM 210 1-d). These values are embedded in our Principles of Community, which reflect our passion for critical inquiry, debate, discovery and innovation, and our deep commitment to contributing to a better world. Every member of the UC Berkeley community has a role in sustaining a safe, caring and humane environment in which these values can thrive.

The University of California, Berkeley is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or protected veteran status.

For more information, please refer to the University of California's Affirmative Action and Nondiscrimination in Employment Policy and the University of California's Anti-Discrimination Policy.

In searches when letters of reference are required all letters will be treated as confidential per University of California policy and California state law. Please refer potential referees, including when letters are provided via a third party (i.e., dossier service or career center), to the UC Berkeley statement of confidentiality prior to submitting their letter.

As a University employee, you will be required to comply with all applicable University policies and/or collective bargaining agreements, as may be amended from time to time. Federal, state, or local government directives may impose additional requirements.

Unless stated otherwise, unambiguously, in the position description, this position does not include sponsorship of a new consular H-1B visa petition that would require payment of the $100,000 supplemental fee.

As a condition of employment, the finalist will be required to disclose if they are subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct.

"Misconduct" means any violation of the policies or laws governing conduct at the applicant's previous place of employment, including, but not limited to, violations of policies or laws prohibiting sexual harassment, sexual assault, or other forms of harassment or discrimination, as defined by the employer.
UC Sexual Violence and Sexual Harassment Policy
UC Anti-Discrimination Policy
APM - 035: Affirmative Action and Nondiscrimination in Employment

Job location
Berkeley, CA

internship

Interim Director, Maternal Services

🏢 AMN Healthcare

Salary not disclosed

San Francisco, CA 2 days ago

Job Description & Requirements

Interim Director, Maternal Services

StartDate: ASAP Pay Rate: $185000.00 - $195000.00

A California medical center is seeking their next Interim Director, Maternal Services!

The Position

- The Interim Director of Maternal Services will be responsible for the oversight and day-to-day operations throughout the department.
- The Interim Director will lead approximately 240+ FTEs, including three direct reports, and will oversee multiple units including labor and delivery, antepartum, nursery, OBED, and will be responsible for a wide range of patient care.
- This leader will focus on ongoing departmental initiatives including patient experience/patient satisfaction scores, mentorship, employee engagement, compliance/quality assurance, and staffing.
- This leader will be responsible for fostering a positive work environment while emphasizing communication, collaboration, and strong engagement throughout the department.
- Must be available to start within 2-3 weeks of acceptance.

Requirements

- Bachelor's degree is required.
- Active CA RN license is required

Compensation Details

- Compensation Range: $185,000 to $195,000 annually.
- The final compensation rate will be determined based on experience, education, training, location, internal equity, and budget considerations, in accordance with Fair Market Value evaluation. Additionally, some candidates may be eligible for a comprehensive benefits package, depending on the specific role, including but not limited to health insurance coverage and retirement benefits.
- The listed base compensation range represents a good faith estimate of potential earnings at the time of this job posting and may be subject to future adjustments.

The Community

- San Jose, California, is bursting with enticing things to experience - from historical attractions and entertainment venues, to beautiful landscapes that include the Santa Cruz Mountains and South Bay.
- The charming downtown San Jose offers diverse dining options, while the city's own Japantown is one of only three remaining in the U.S.
- Located just south of San Francisco, San Jose residents have easy access to all the iconic city has to offer.

Interim Leadership with B.E. Smith

- Becoming an Interim Leader through BE Smith provides an exceptional opportunity to rapidly make meaningful improvement in healthcare settings. Is the interim leadership lifestyle right for you? Apply now and discover how Interim Leadership could revolutionize your career path.
- Joining the B.E. Smith team means you could receive a full benefits package upon accepting roles. This includes health, dental, and vision insurance, life insurance, AD&D, and a flexible spending account, with some benefits varying based on the job's type and duration.
- As a B.E. Smith employee, we manage your taxes by handling withholdings and also paying the employer portion of your FICA contributions.
- Interim positions come with varying travel requirements. B.E. Smith and the client cover all travel, accommodation, and work-related expenses. You receive bi-weekly trips home at the client's expense, plus a rental car and comfortable lodging for a convenient living experience.
- Some roles may require specific licenses. A compact nursing license allows registered nurses to work in any state that is part of the Nurse Licensure Compact without needing separate state licenses. Stay up to date on new legislation, and confirm licensure requirements with the recruiter.
- B.E. Smith is continuously addressing the challenges of the COVID-19 pandemic with a commitment to transparent communication. We strive to mitigate its impact on clients, healthcare workers, employees, and stakeholders of B.E. Smith. Upholding our integrity, we remain dedicated to sharing timely updates and insights, guided by our core value of "Doing the Right Thing."

Please direct all inquiries, applications, and referrals to:

Lexus Thomas

Executive Recruiter

#BESRecruitment

#LI-LT1

Facility Location
Ranked as the fifth most popular place to live in America, it's no wonder that traveling health care professionals enjoy packing their bags for San Jose. Once a sleepy orchard town, the prosperity of Silicon Valley has transformed this area into a thriving city of fine restaurants, great shopping, world-class arts and culture, a state-of-the-art light-rail system and plenty of big-city excitement.

Job Benefits

About the Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

Women's Services, Women's, Obstetrics, Women's and Children's, Women's and Children, OB, Labor & Delivery, Labor and Delivery, L&D, L & D, Maternal Child, Maternity, Perinatal, Women's Health, Women's Service Line, Women's and Family Services, Postpartum, MCH, Family Birth, Child Birth, Mom/Baby, Mom and Baby, Mom & Baby, M&B, M & B, Womens, Womens Services, Womens and Childrens, Womens and Children, Womens Health, Womens Service Line, Womens and Family Services

Not Specified

B

Claims Adjuster-Worker's Compensation

🏢 Broward County, Florida

Salary not disclosed

Fort Lauderdale, FL 2 days ago

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 LicensesPossession/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.