Claims Examiner I - Commercial Auto

Athens Administrators; Town of Florida (NY); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical

Vision

Dental

Life and AD&D

Long Term Care

401k

Job summary

Athens Administrators has an immediate need for a full-time Claims Examiner I to support our Property & Casualty department. Employees within 26 miles of the Lake Mary, FL or San Antonio, TX offices may work in the office weekly; otherwise, the role is remote with occasional in-office requirements.

This entry-level position focuses on timely investigation and settlement of auto, property and casualty claims.

Qualifications

• High School Diploma or equivalent (GED) required for all positions.
• AA/AS or BA/BS preferred but not required.
• Must possess a license from your domiciled state and a minimum of one license in NY, TX, or FL.
• Additional State Adjuster Licenses may be required within 180 days.
• Maintain licenses and continuing education requirements in all states.
• Minimum of three years auto-claims handling experience, at least one-year commercial auto required.
• Knowledge of property and casualty insurance policies.
• Knowledge of auto insurance laws, codes, procedures, and liability concepts.
• Proficiency in investigation and resolution of minor to medium level auto physical damage casualty claims.
• Strong negotiation skills and ability to achieve optimal settlement results for clients.
• Well-developed verbal and written communication skills with strong attention to detail.
• Excellent organizational skills and ability to multi-task.
• Ability to type quickly, accurately and for prolonged periods.
• Proficient in Microsoft Office Suite
• Ability to learn additional computer programs.
• Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution.
• Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization.

Responsibilities

• Investigate coverage, including evaluate insurance coverage problems and/or disputes
• Investigate, evaluate and determine settlement value or denial of liability for all claims
• Develop a measure of damage for each loss, establish and maintain appropriate reserves
• Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure
• Ensure appropriateness of all payments
• Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
• Maintain and update action plans for each claim
• May assign and coordinate with vendors, legal counsel, appraisers or experts as necessary
• Facilitate between claimants, clients, brokers and attorneys in resolution of liability claims
• Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers
• Provide customer service and support to insureds and claimants
• Assist in training of new employees
• Attend meetings and educational seminars for professional development
• Maintain required licenses

Skills

Claims handling concepts

Negotiation skills

Investigations

Verbal and written communication

Microsoft Office Suite

Licensing knowledge

Education

High School Diploma or equivalent (GED)

AA/AS or BA/BS preferred

Tools

Microsoft Office Suite

Job description

Location: Lake Mary, FL

Job Id:1608

# of Openings:1

Position Title:

Department:

Property & Casualty

Reports To:

FLSA Status:

Exempt in all state except California

Job Grade:

9

Next step in progression could include Claims Examiner II

ATHENS ADMINISTRATORS

Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today!

POSITION SUMMARY

Athens Administrators has an immediate need for a full-time Claims Examiner I to support our Property & Casualty department. Employees who live less than 26 miles from the San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in(includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA and WV). Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday through Friday at 37.5 hours per week.

The Claims Examiner I is responsible for the timely investigation, evaluation and determination of settlement or denial of minor to moderate multi-line auto property and casualty claims. They will be handling claims from inception to closure.

PRIMARY RESPONSIBILITIES

Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:

• Knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated analytical, decision making and negotiation skills.
• Investigate coverage, including evaluate insurance coverage problems and/or disputes
• Investigate, evaluate and determine settlement value or denial of liability for all claims
• Develop a measure of damage for each loss, establish and maintain appropriate reserves
• Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure
• Ensure appropriateness of all payments
• Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
• Maintain and update action plans for each claim
• May assign and coordinate with vendors, legal counsel, appraisers or experts as necessary
• Facilitate between claimants, clients, brokers and attorneys in resolution of liability claims
• Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers
• Provide customer service and support to insureds and claimants
• Assist in training of new employees
• Attend meetings and educational seminars for professional development
• Maintain required licenses

ESSENTIAL POSITION REQUIREMENTS

The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.

• High School Diploma or equivalent (GED) required for all positions
  • AA/AS or BA/BS preferred but not required
• Must possess a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL
  • Additional State Adjuster License(s) may be required within 180 days
  • Maintain licenses and continuing education requirements in all states
• Minimum of three years auto-claims handling experience, at least one-year commercial auto required
• Knowledge of property and casualty insurance policies
• Knowledge of auto insurance laws, codes, procedures, and liability concepts
• Proficiency in investigation and resolution of minor to medium level auto physical damage casualty claims
• Strong negotiation skills and ability to achieve optimal settlement results for clients.
• Well-developed verbal and written communication skills with strong attention to detail
• Excellent organizational skills and ability to multi-task
• Ability to type quickly, accurately and for prolonged periods
• Proficient in Microsoft Office Suite
  • Ability to learn additional computer programs
• Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
• Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
• Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
• Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner
• Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor.
• Athens’ operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
• Must be able to reliably commute to meetings and events as required by this position

This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.

Athens Administrators is an Equal Opportunity/ 𝐀𝐟𝐟𝐢𝐫𝐦𝐚𝐭𝐢𝐯𝐞 𝐀𝐜𝐭𝐢𝐨𝐧 employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.

THANK YOU!

We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don’t forget to check out our website at www.athensadmin.com as well as our LinkedIn , Glassdoor , and Facebook pages!

Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including:

• Medical
• Vision
• Dental
• Life and AD&D
• Long Term Care
• Critical Care
• Accidental
• Hospital Indemnity
• HSA & FSA options
• 401k (and Roth)
• Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://www.athensadmin.com/careers/why-work-here