Claims Analyst

OUC - The Reliable One, is presently seeking a Claims Analyst to join the Office of General Counsel division. At OUC, we don't just work - we're building a bright future of innovation and transformation for future generations.

We are looking for a detail oriented, resilient, and high energy claims professional to take ownership of a diverse portfolio of Workers' Compensation, General Liability, Auto Liability, electrical, and water related claims for OUC. In this role, you will not simply process claims. You will help shape outcomes by leading investigations, assessing liability and exposure, collaborating with teams across the utility, applying Florida Statute 768, and ensuring fair, accurate, and timely resolutions. This is the ideal opportunity for a self starter who thrives on solving complex problems, influencing decisions, and making a meaningful impact in a fast paced, in office environment.

As part of a small, high performing team, you will have the unique opportunity to make a significant impact. You'll gain hands-on exposure to utility operations through field visits and cross department ride alongs, while developing deep municipal claims knowledge that sets you apart in the industry. With direct opportunities to support succession planning, contribute to key insurance and risk initiatives, and help shape training and roundtable discussions, this role offers a clear path for professional growth and long term influence. At OUC, you'll join a department committed to excellence, continuous learning, and meaningful work, where your decisions protect the organization, support our employees and customers, and strengthen our partnership with our third party administrator.

OUC is an industry leader and the second largest municipal utility in Florida committed to innovation, sustainability, and our community, OUC's mission is to provide exceptional value to our customers and community by delivering sustainable and reliable services and solutions.

Join a team of visionary Change Agents, Strategists, and Community Ambassadors who understand the vital role of diverse experiences in powering creativity and industry transformation. At OUC, each position contributes to the success and achievement of our goals. Click here to learn more about what we do.

The ideal candidate will have:

• High school diploma or GED; a Bachelor's degree in business administration, risk management, finance, or a related field is preferred
• Minimum 3 years of claims handling experience, including Workers' Compensation (WC), General Liability (GL), and Auto Liability (AL); experience with bodily injury (BI) claims is a plus
• A Florida 620 insurance adjuster's license
• 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), and Microsoft Office
• Demonstrated critical thinking, strong claims knowledge, and a high energy, proactive growth-oriented mindset
• Professional designations such as Associate in Claims (AIC), Associate in General Insurance (AINS), or Chartered Property and Casualty Underwriter (CPCU) (preferred)
• This is a fulltime, inoffice role (Monday-Friday, 8 AM-5 PM). Candidates living in the greater Orlando area are preferred due to potential stormresponse duty.

OUC offers a very competitive compensation and benefits package. Our Total Rewards package includes, to cite a few:

• Competitive compensation
• Low-cost medical, dental, and vision benefits and 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

Click here to view our Benefits Summary.

Salary Range: $32.64 - $40.80 per hour ($67,895 -$84,870 annually) commensurate with experience

Location: "The Greenest Building in Downtown"- Reliable Plaza, 100 W. Anderson Street, Orlando, FL 32801

Applicants must be legally authorized to work in the United States at the time of application. This organization does not offer or sponsor employment visas for internship or full-time positions.

Please see below a complete Job description for this position.

Job Purpose:

Review and analyze property and liability claims for OUC by investigating, negotiating, and settling claims in a professional, equitable and consistent manner. Assist and support the administration of Worker's Compensation claims.

Primary Functions:

• 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 as necessary;
• 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, communicate with health care providers;
• Review, approve and process workers compensation claim payments to be made to and by our third party administer;
• 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.

Technical Requirements:

• Working knowledge of all, but not limited to, the following:
  
  
  
  • Various insurance policies;
  • Coverage forms, carriers, endorsements, brokers, etc.;
  • Electric generation, transmission and distribution process;
  • Related industry, organizational and departmental policies, practices, and procedures; legal guidelines, ordinances, and laws;
  • Medical practices, procedures, and terminology;
  • 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.).

Education/ Certification/ Years of Experience Requirements:

• High school diploma or GED;
• Bachelor's degree in business administration, risk management, finance or related field (preferred);
• 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 Conditions:

This job may involve occasional exposure to some disagreeable elements (dust, heat, cold, noise, etc.) and accidents are improbable other than minor injuries. This job may require rare outdoor weather conditions.

Physical Requirements:

This job requires constant speaking & hearing, typing, reading, and writing. This job requires very frequent walking and sitting, and frequent standing. This job may require occasional bending/stooping and, on rare occasion, lifting up to twenty (20) lbs. and driving a company vehicle.

OUC-The Reliable One is an Equal Opportunity Employer who is committed through responsible management policies to recruit, hire, promote, train, transfer, compensate, and administer all other personnel actions without regard to race, color, ethnicity, national origin, age, religion, disability, marital status, sex, sexual orientation, gender identity or expression, genetic information and any other factor prohibited under applicable federal, state, and local civil rights laws, rules, and regulations.

EOE M/F/Vets/Disabled