Bilingual Claims Analyst (Spanish Preferred)

OUC - The Reliable One, is presently seeking a Bilingual Claims Analyst (Spanish Preferred) 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 seeking a resilient and detail-oriented professional with strong interpersonal skills and a solid understanding of relevant Florida statutes to review and analyze property and liability claims for OUC. In this role, you will investigate, negotiate, and settle claims in a professional, equitable, and consistent manner. You will also assist in administering Workers' Compensation claims, ensuring accurate reporting of on-the-job injury claims to third-party adjusters, and coordinating medical care for injured employees. The ideal candidate will possess strong interpersonal skills, have experience in conflict resolution, and demonstrate a teachable and self-motivated mindset.

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:

• A high school diploma or GED; a Bachelor's degree in business administration, risk management, finance, or a related field is preferred.
• A minimum of three (3) years of experience working with insurance, property, liability, or Workers' Compensation claims, contracts, or risk management; preferably within a governmental or public entity.
• Valid driver's license is required.
• Adjuster or Agent license preferred.
• Bilingual with professional proficiency in written and verbal Spanish communication.
• Familiarity with Workers' Compensation Chapter 440 and Florida Statute 768.28

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
• Free downtown parking
• Hybrid work schedule

Click here to view our Benefits Summary.

Salary Range: $30.93/hr - $38.67/hr (Est. $64,338 - $80,433 annually) - commensurate with experience

Location: Reliable Plaza

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;
• Adjuster or Agents license, preferred;

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, gender, 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