Requisition No: 815382
Agency: Department of Lottery
Working Title: CLAIMS PROCESSING ANALYST – 36000214
Position Number: 36000214
Salary: $40,000 – $43,000
Posting Closing Date: 11/08/2023
CLAIMS PROCESSING ANALYST
FLORIDA DEPARTMENT OF THE LOTTERY
*Open Competitive Opportunity*
AGENCY BENEFITS:
If 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 DESCRIPTION:
This is a professional position of significant scope and complexity, requiring independent judgment while performing technical, analytical/accounting and customer service functions relating to the validation and payment of Lottery prizes. Under the general supervision of a higher-level accounting supervisor, the incumbent assigned to this position is responsible for carrying out the duties described below for Player Disbursements, in accordance with established policies and procedures.
ESSENTIAL DUTIES:
- Analyze, validate, and pay claims and/or 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.
- 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.
- Evaluate a variety of prize validation and payment problems and determine the appropriate course of action for resolution.
- Draft and proof internal/external correspondence.
- Draft procedures for Bonus Play Promotions. Validate and/or pay claims for promotional payments as needed.
- Answer phone calls from players and utilizing customer service skills, provide a positive customer experience.
- Assist as requested with any special promotion or game draws assigned.
- Assist with Quarterly Audits of the Claims Processing Secured Cage.
- 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 in an attempt to provide a timely resolution of processing problems.
- Assist with training of other team members within Claims Processing
- Assist in opening mail, under dual control, from players and district offices, as needed.
- Assist with audits of claims paid by District Offices.
- Review, analyze and coordinate the collection of State Owed Debts from winners and subsequent transfer of the funds to appropriate state agencies.
- Cross-train with other teams within Claims Processing.
- Analyze and resolve problem claims
- Review, analyze and follow-up on pending claims, initiating management reviews as deemed necessary
- Audit paid claims to ensure prizes were paid in compliance with the Lottery’s rules, policies and procedures.
- Assign and resolve hold codes in the prize payment system for claims/tickets pending validation and payment.
- Initiate and conduct in-depth research into and make recommendations for prize payment of exception claim issues.
- Recommend and draft changes to established procedures to increase efficiency and enhance productivity and implement approved changes.
- Assist with regularly reviewing and updating policies and procedures. When applicable, recommend changes to policies and procedures to improve operation efficiency, effectiveness, safegarding of Lottery assets, and internal control.
- Maintain records concerning job related activities and recommend changes to improve the work environment with emphasis on productivity and efficiency.
- Perform special projects related to departmental goals and objectives.
- Research and resolve checks returned as undeliverable by the postal service.
- As directed, assist in scanning paid claim files and other documents, with the Lottery’s document management software.
- Perform functions necessary to process scratch off and online winners
- Create, maintain, modify, and manage computer data files using a variety of software applications.
- As directed, participate in unit sub-groups designed to improve processes, find efficiencies, and increase overall performance.
- Attendance is an essential function of this position.
- 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.
Knowledge, Skills, and Abilities:
- Ability to effectively utilize the internal integrated office equipment and automated systems.
- Ability to analyze prize payment documentation for proper payment.
- Knowledge of customer service techniques
- Knowledge of general accounting practices, bookkeeping practices and basic business administration
- Knowledge of office procedures and practices
- Knowledge of the Prize Payment Rule, policies and Procedures.
- Knowledge of Word, Excel, Outlook, and ACCESS
- 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
- Working knowledge of professional accounting techniques.
- 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.
Agency-wide requirements for employment:
High School Diploma or equivalent (GED) required.
Successful passing of a criminal background check (state, local, and national) is required.
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.
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.