Director Insurance Claims

Requisition ID:  97557

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

The ideal candidate for this position will be able to handle and adjust assumed reinsurance claims that may be complex in nature on behalf of Palms Insurance Company, Palms Specialty Insurance Company and Sabal Specialty Insurance Company. It is expected that the candidate will be responsible for the following:

• Assumed Reinsurance Claims Management & Processing
• Review and validate assumed reinsurance claims to ensure accuracy and adherence to contract terms and conditions.
• Coordinate the submission, tracking, and resolution of reinsurance recoveries, including facultative and treaty claims.
• Analyze claim data and documentation to confirm reinsurance applicability and recovery potential.
• Maintain accurate records of outstanding recoverable and settlements in the claims management system.
• Account Management & Communication
• Act as the primary point of contact for brokers, reinsurers, and internal stakeholders regarding reinsurance claims.
• Collaborate with underwriting, finance, and legal teams to resolve discrepancies or disputes.
• Manage and reconcile claim statements and bordereaux with counterparties.
• Facilitate regular status updates, claim summaries, and audit support for reinsurance partners.
• Analysis & Reporting.
• Prepare reports on claims activity, recovery performance, and outstanding balances.
• Support financial close processes through timely and accurate reinsurance claims data.
• Identify trends or potential exposure issues and recommend process improvements.
• Ensure all claims handling adheres to internal policies, reinsurance contracts, and regulatory requirements.
• Support internal and external audits, providing documentation and reconciliations as needed.
• Contribute to continuous improvement of claims and reinsurance processes and systems.
• Perform other job-related duties as assigned and necessary.

Qualified candidates will possess the following skills/capabilities:

• Ability to work in a fast-paced startup environment.
• Demonstrate an in-depth understanding of coverage issues, policy forms, reinsurance treaties, facultative certificates, contracts, regulatory requirements, and changing legal landscape.
• Understanding of technical claims proficiency and execution of Best Claims Practices.
• Excellent analytical/negotiation skills.
• Excellent communication and writing skills with a strong business acumen and ability to collaborate with other departments, business partners and vendors.
• Ability to resolve complex claims with minimal supervision.
• Good critical and analytical thinking, advocacy and negotiation skills.

Job Overview

Leaders in this role are responsible for the leadership, budgeting and operations of the three Claims Departments which handle all claims related activities for all NextEra Energy companies. These include all third party Personal Injury/Death Claims, Property Damage Claims and Company Property Damage Claims. This position supports the in-house legal litigation department and manages the injuries and damages reserve account. Individuals drive technical excellence, enforce compliance issues utilizing Sarbanes-Oxley (SOX) controls, and manage productivity and staffing for the Claims organization.

Job Duties & Responsibilities

•   Leads all aspects of personnel management including hiring, training, performance management, coaching, and providing guidance and direction

•   Directs and manages all aspects of the Company's Claims Departments including budgeting, auditing, SOX compliance, case reviews and evaluations, and technical/ software evaluation

•   Provides quarterly updates to Executives, Risk Management, Excess Insurers, Fleet and Accounting on all existing liability exposures as well as quarter to quarter reserve change analysis

•   Attends Excess Insurers quarterly meetings

•   Ensures strict adherence to all aspects of SOX Processes which includes quarterly reserve analyses, timely and accurate billing to our excess insurers, correct check coding, and provides Accounting with quarterly reserve requirements

•   Manages and analyzes injuries and damages reserve account

•   Works with in-house Counsel on litigated files and provides direction and authority

•   Participates in mediations, pre-trial conferences, strategic round tables and trials

•   Attends bi-annual conference with Vice Presidents on all claims in excess of $250,000

•   Works with cross functional teams on driver safety programs, storm, business continuity and other projects as required

•   Performs other job-related duties as assigned

Required Qualifications

•  Bachelor's Degree

•  Experience:10+ years

•  Supervisor/Management Experience:5+ years

Preferred Qualifications

•  None

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.

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