Claims Analyst
Position Specific Description
We are seeking a detail-oriented and self-driven Claims Analyst to join our growing Claims team. In this role, you will be a key contributor to the day-to-day operations of our high-volume claims programs, including fast track consumer insurance claims. You will work closely with internal teams, Third-Party Administrators (TPAs), and external partners to ensure claims are processed accurately, efficiently, and escalated appropriately and in alignment with our best-in-class service standards.
Key Responsibilities
- Process and review claims determinations for high-volume programs, fast track consumer claims, including pet insurance
- Manage and review Claims Bordereaux (BDXs) for accuracy and timely import into the claims management system
- Liaise with TPAs, MGAs/MGUs, and internal stakeholders to ensure timely receipt of documentation, data accuracy, and resolution of action items
- Generate large loss reports, management reports, and operational reports as directed by Claims Management
- Monitor TPA and external contractor performance against established SLA benchmarks
- Maintain organized and complete claims files and documentation in accordance with internal guidelines
- Identify and recommend process improvements to reduce manual tasks and improve claims cycle times
- Support the broader Claims team with administrative and operational tasks as needed, including claim payments and cash calls
- Document operational processes and assist in implementing policies, practices, and standards that promote consistent and effective claims handling
- Support Claims Management in scheduling annual Stewardship Meetings and claims audits and in preparing responses to external and internal audits
What We're Looking For
- 3+ years of claims experience, preferably in a high-volume or fast-track environment
- Familiarity with claims administration concepts including BDX processing, FNOL handling, and TPA coordination
- Strong analytical and organizational skills with keen attention to detail
- Excellent written and verbal communication skills
- Proficiency in Microsoft Excel; experience with claims management systems is a plus
- Ability to manage multiple priorities in a fast-paced environment
- Comfortable working within a matrixed team structure and collaborating across functions
Job Overview
This job is responsible for handling personal injury and major property damages claims asserted by or against the company.
Job Duties & Responsibilities
• Investigates, evaluates and negotiates satisfactory settlements of personal injury and major property damage claims
• Provides support and assistance to company attorneys throughout the claims litigation process, including court testimony
Required Qualifications
- Valid Driver's License (NON CDL)
- High School Grad / GED
- Experience: 4+ years
Preferred Qualifications
- Bachelor's Degree
Job Overview
This job is responsible for handling personal injury and major property damages claims asserted by or against the company.
Job Duties & Responsibilities
• Investigates, evaluates and negotates satisfactory settlements of personal injury and major property damage claims
• Provides support and assistance to company attorneys throughout the claims litigation process, including court testimony
Required Qualifications
- Valid Driver's License (NON CDL)
- High School Grad / GED
- Experience: 4+ years
Preferred Qualifications
- Bachelor's Degree
Employee Group
Exempt
Employee Type
Full Time
Job Category
Legal/Regulatory/External Affairs
Organization
Palms Management Services, LLC
Relocation Provided
Yes, if applicable
NextEra Energy is an Equal Opportunity Employer
Qualified applicants are considered for employment without regard to race, color, age, national origin, religion, marital status, sex, sexual orientation, gender identity, gender expression, genetics, disability, protected veteran status or any other basis prohibited by law.