State of Florida hiring SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 in Tallahassee, FL | LinkedIn (2024)

State of Florida hiring SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 in Tallahassee, FL | LinkedIn (1)

SENIOR CLAIMS PROCESSING SPECIALIST - 36000384

State of Florida Tallahassee, FL

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State of Florida Tallahassee, FL

3 days ago

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Requisition No: 830447

Agency: Department of Lottery

Working Title: SENIOR CLAIMS PROCESSING SPECIALIST - 36000384

Pay Plan: Lottery Exempt Serv

Position Number: 36000384

Salary: $38,500.00

Posting Closing Date: 06/03/2024

Total Compensation Estimator Tool SENIOR CLAIMS PROCESSING SPECIALIST FLORIDA DEPARTMENT OF THE LOTTERY – DIVISION OF CLAIMS PROCESSING

  • Internal Applicants Only*

Agency BenefitsIf hired, as employee of the Florida Lottery, you will be provided the benefits listed below:

  • Approximately 97.5% of the premium for health insurance
    • Individual (~$8/month) or Family (~$30/month)
  • 100% of the premium for individual or family dental insurance
  • 100% of the premium for basic life insurance
  • Employer contributions to the Pension Plan or Investment Plan; contribution levels will vary based upon Pay Plans.

General Position DescriptionThis is a professional position requiring the use of independent judgment, performing analytical, customer service, and accounting functions, interpreting and maintaining a wide variety of complex accounting, prize validation and prize payment records. Under the general supervision of a supervisor, the incumbent assigned to this position is responsible for carrying out the duties described below for Claims Processing, in accordance with established policies and procedures.

Essential Duties

  • Each employee is expected to be knowledgeable of the Lottery’s Responsible Gaming program, including the No Underage Play and Play Within Your Means messaging, and will ensure retailers and players are aware of the program and provided information, as necessary.
  • Function as Team Leader and trainer for Specialists in Claims Processing.
  • Function as the Claims Processing Subject Matter Expert on problem claims and analyze and resolve problem claims.
  • Cross-train with other teams within Claims Processing
  • Analyze, validate, and pay claims/tickets submitted to Lottery Headquarters utilizing a proprietary prize payment software system.
  • Review and process claims/tickets presented for payment ensuring compliance with established prize payment rules, policies, and procedures.
  • Review claim documentation for all required elements of eligibility and IRS tax reporting information ensuring the correct amount paid, withheld, remitted, and reported correctly.
  • Review and process any state owed debt claims that result from the validation process. These debts must be verified, withheld, and then forwarded to the appropriate agency in a timely fashion to ensure minimal disruption for winners.
  • Respond to AskLott email from players in a timely manner.
  • Pull check stock under dual control at the request of the districts and distribute.
  • Prepare any required reconciliations that are necessary to ensure that prize payment activities balance and are in compliance with established prize payment rules, policies, and procedures.
  • Prepare and maintain prize payment claim files.
  • Perform quarterly district audits of paid claims $600 or more to ensure processing is in accordance with the current Payment of Prizes Rule, Florida Statute and Policy and Procedures.
  • Assist with the payment of Missing Tickets (Code 31) by reviewing and compiling all documentation for management review.
  • Update changes to player banking information and assist with correspondence to players regarding their installments.
  • Prepare Security Referral Forms and files for investigation for all security exceptions. Prepare correspondence to the player following the completed investigation.
  • Assist with processing Top Prize claims.
  • Generate Free Tickets, Continuation Tickets and Not Yet a Winner with Draws Remaining Tickets through the Flex Machine for processing.
  • Assist with the processing of IRS Form 5754, confirming the player has all documents to proceed.
  • As assigned, answer phone calls from players and utilizing customer service skills, provide a positive customer experience.
  • Provide support to Internal and External customers.
  • Assist District staff in resolving issues arising during the payment process, which may include receiving copies of documentation, verifying amounts and/or printing checks.
  • Conduct all Lottery business in a professional manner with emphasis being placed on winner convenience and satisfaction. Performance of these tasks will require incumbent to exercise analytical skills and professional judgment.
  • Initiate correspondence when necessary to communicate issues effectively with customers to provide a timely resolution of processing problems.
  • Analyze and resolve problem claims.
  • Review, analyze and follow-up on pending claims, initiating management reviews as deemed necessary.
  • Assist with Quarterly Audits of the Claims Processing Secured Cage.
  • Perform functions necessary to process scratch off and online winners.
  • Create, maintain, modify and manage computer data files using a variety of software applications.
  • Attendance is an essential function of this position.
    • Total hours in workweek: 40

Knowledge, Skills, And Abilities

  • Knowledge of customer service techniques
  • Knowledge of office procedures and practices
  • Knowledge of Word, Excel, Outlook
  • Knowledge and understanding of the Prompt Payment Law, Section 215-422, Florida Statutes
  • Ability to prepare and maintain a variety of accounting records.
  • Ability to plan, organize and coordinate work assignments.
  • Ability to analyze, research, report and interpret accounting data.
  • Ability to read and interpret procedures and technical manuals.
  • Ability to manage information of a confidential or proprietary nature.
  • Ability to provide effective written and verbal business communications.
  • Ability to effectively utilize internal integrated office equipment and automated systems.
  • Ability to work independently, and to solve problems and make decisions.

Minimum Agency-wide RequirementsSuccessful passing of a criminal background check (state, local, and national) is required.

A high school diploma or equivalent (GED).

Maintains strict confidentiality of information learned while working with the Florida Lottery, whether learned through assigned duties or through working with other units. The types of confidential information may include, but are not limited to, payroll information, budget matters, policy decisions, tax matters, employee disciplinary issues, and other personnel data.

Statutes establishing or defining work performed Chapter 24, Florida Statutes

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.

  • Seniority level

    Mid-Senior level
  • Employment type

    Full-time
  • Job function

    Finance and Sales
  • Industries

    Government Administration

State of Florida hiring SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 in Tallahassee, FL | LinkedIn (8) State of Florida hiring SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 in Tallahassee, FL | LinkedIn (9) State of Florida hiring SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 in Tallahassee, FL | LinkedIn (10)

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