Claims Analyst

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.