Claims Analyst

NextEra Energy

22h•Onsite

About The Position

At PALMS Insurance, a NextEra Energy company, we specialize in offering customized insurance solutions that address the unique needs of our clients. Our commitment to excellence, reliability, and customer satisfaction sets us apart as a trusted provider in the insurance industry. 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. This job is responsible for handling personal injury and major property damages claims asserted by or against the company.

Requirements

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
Ability to manage multiple priorities in a fast-paced environment
Comfortable working within a matrixed team structure and collaborating across functions
Valid Driver's License (NON CDL)
High School Grad / GED
Experience: 4+ years

Nice To Haves

experience with claims management systems is a plus
Bachelor's Degree

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
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
Performs other job-related duties as assigned