Claims Analyst

Orlando Utilities Commission • Orlando, FL

4d • Onsite

About The Position

OUC - The Reliable One is seeking a Claims Analyst to join the Office of General Counsel division. This role involves taking ownership of a diverse portfolio of Workers’ Compensation, General Liability, Auto Liability, electrical, and water-related claims. The Claims Analyst will lead investigations, assess liability and exposure, collaborate with internal teams, apply Florida Statute 768, and ensure fair, accurate, and timely resolutions. This is an ideal opportunity for a self-starter who thrives on solving complex problems and making an impact in a fast-paced, in-office environment. The role offers hands-on exposure to utility operations through field visits and cross-department ride-alongs, deep municipal claims knowledge development, and opportunities to support succession planning, key insurance and risk initiatives, and training discussions. The department is committed to excellence, continuous learning, and meaningful work, protecting the organization, supporting employees and customers, and strengthening partnerships with third-party administrators. OUC is a leading municipal utility in Florida focused on innovation, sustainability, and community.

Requirements

• High school diploma or GED
• Minimum of three (3) years of experience working with insurance, property, liability or workers compensation claims, contracts, or risk management
• Valid driver's license
• Valid Adjuster’s license required
• Working knowledge of various insurance policies, coverage forms, carriers, endorsements, brokers, etc.
• Working knowledge of electric generation, transmission and distribution process.
• Working knowledge of related industry, organizational and departmental policies, practices, and procedures.
• Working knowledge of legal guidelines, ordinances, and laws.
• Working knowledge of medical practices, procedures, and terminology.
• Working knowledge of claims software/ commercial insurance software.
• Ability to make arithmetic computations using whole numbers, fractions and decimals, compute rates, ratios and percentages.
• Ability to analyze invoices, assessments, penalties, third-party administrator fees, and fee schedule.
• Ability to use safety equipment and camera.
• Ability to use Microsoft Office Suite (Word, Excel, Outlook, etc.) and use standard office equipment (computer, telephone, copier, etc.).
• Demonstrated critical thinking, strong claims knowledge, and a high-energy, proactive growth-oriented mindset.

Nice To Haves

• Bachelor’s degree in business administration, risk management, finance, or a related field is preferred
• Experience with bodily injury (BI) claims is a plus
• Experience managing a variety of claim types, including electrical and water-related claims
• Knowledge of Florida Statute 768 (municipal liability and sovereign immunity)
• Experience working with a third-party administrator or in a municipal/utility setting is preferred
• Proficiency claims research tools and systems (such as ISO), claims software (such as FileHandler or Origami)
• Professional designations such as Associate in Claims (AIC), Associate in General Insurance (AINS), or Chartered Property and Casualty Underwriter (CPCU) (preferred)

Responsibilities

• Investigate, negotiate, and settle routine first party and third-party property damage claims.
• Perform field investigations and maintain applicable correspondence with OUC employees, insurance companies, claimants, and law enforcement agencies.
• Respond to employee vehicle accidents, perform field investigation, claim negotiation, settlement, denial, etc.
• Ensure accurate and timely reporting of on-the-job injury claims to third party adjusters.
• Review workers compensation claims for compensability as necessary.
• Review, approve and coordinate medical care for injured employees, and communicate with health care providers.
• Review, approve and process workers compensation claim payments to be made to and by our third party administrator.
• Review workers compensation claim medical care provider notes and diagnostic reports for appropriate claim administration.
• Communicate claim-related matters (medical care or lack of, time charges, time off, etc.) with employees, management, payroll, and third party administrators; provide instruction of next steps when necessary.
• Complete wage reporting to third party adjuster for State of Florida for injured workers as required by statute.
• Perform other duties as assigned.

Benefits

• Competitive compensation
• Low-cost medical, dental, and vision benefits
• Paid life insurance premiums with no probationary period
• OUC’s Hybrid Retirement Program includes a fully-funded cash balance account, defined contribution with employer matching along with a health reimbursement account
• Generous paid vacation, holidays, and sick time
• Paid parental leave
• Educational Assistance Program, to include tuition reimbursement, paid memberships in professional associations, paid conference and training opportunities
• Wellness incentives and free access to all on-site OUC fitness facilities
• Access to family-oriented recreational areas
• Paid Conference and Training Opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED