Claims Analyst
Orlando Utilities Commission
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- Location
- Orlando, United States
- Job type
- Full time
- Posted
- Oct 13
- 7 days ago
Career path
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About the company
Orlando Utilities Commission
Utilities · 1,001 to 5,000 employees
What you'll do
- Investigate, negotiate, and settle property and liability claims, including employee vehicle accidents.
- Support workers compensation claims by reviewing compensability, coordinating medical care and payments, and communicating with employees, providers, and administrators.
Key skills
claim investigationclaim negotiationworkers compensationfield investigationswage reporting
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Read the full posting here
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.