Claims Analyst

Requisition ID:  94842 

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. Are you ready to make a meaningful difference? Become a part of our team today. 
 

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

NextEra Energy offers a wide range of benefits to support our employees and their eligible family members. Click here to learn more.

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. 

NextEra Energy provides reasonable accommodation in its application and selection process for qualified individuals, including accommodations related to compliance with conditional job offer requirements, consistent with federal, state, and local laws. Supporting medical or religious documentation will be required where applicable and permitted by applicable law. To request a reasonable accommodation, please send an e-mail to [email protected], providing your name, telephone number and the best time for us to reach you. 

NextEra Energy will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

NextEra Energy does not accept any unsolicited resumes or referrals from any third-party recruiting firms or agencies. Please see our policy for more information.

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