Claims Examiner II - Commercial Auto PD/BI

Athens Administrators

Florida

Hybrid

USD 55,000 - 75,000

Full time

8 days ago

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Benefits offered by this job

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

Job summary

Athens Administrators has an immediate need for a full-time Claims Examiner II in its Property & Casualty department. The role supports commercial auto PD/BI claims with the option to handle related lines; employees live within commuting distance of specified offices and may work remotely on non-office days.

The position requires 5+ years of commercial auto experience, active licenses in applicable states, strong analytical and communication skills, and the ability to work in a fast-paced,

Qualifications

High School Diploma or equivalent (GED) is 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 licenses may be required within 180 days; licenses and CE requirements must be maintained in all states.
Minimum of 5 years of commercial auto handling experience.
Knowledge of tort law, civil procedure, and contract law; auto insurance codes, procedures, and liability concepts.
Knowledge of property and casualty insurance policies.
Proficiency in investigation and resolution of auto physical damage claims; limited minor BI claims may be optional.
Excellent verbal and written communication with strong attention to detail; highly organized and able to multi-task.
Ability to type quickly, accurately, and for prolonged periods; proficient in Microsoft Office Suite.
Strong reasoning, problem-solving, and analytical abilities; trustworthy, dependable, and team-oriented; maintain confidentiality.
Athens’ operations involve handling confidential information; commuting to meetings and events may be required.

Responsibilities

Investigate, evaluate, and determine settlement value or denial of liability for moderate to severe commercial auto claims.
Within prescribed settlement authority, establish reserves for indemnity and expense and review regularly for adequacy; make recommendations for reserves beyond authority.
Prepare comprehensive reports; identify claim trends and policy issues for management.
Manage litigation through retention of counsel; follow line-of-business guidelines for budget, bill review, and payment.
Document and manage claims from inception to closure; ensure payments are appropriate.
Coordinate with vendor services such as appraisers, independent adjusters, contractors, social media, and private investigators.
Facilitate communication between claimants, clients, brokers, and attorneys; resolve liability claims.
Exchange information with clients, claimants, brokers, inspectors, producers, and account managers.
Attend meetings and educational seminars for professional development; maintain required licenses.
Conduct quarterly claim reviews with the client.
Athens Administrators is an Equal Opportunity employer; protect against discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, or promotions.

Skills

Verbal and written communication

Typing speed

Analytical skills

Multi-tasking

Microsoft Office Suite

Education

High School Diploma or equivalent (GED)

AA/AS or BA/BS preferred but not required

Tools

Microsoft Office Suite

Job description

Position:

Claims Examiner II - Commercial Auto PD/BI

Location:

Lake Mary, FL

Job Id:

1664

# of Openings:

ATHENS POSITION DETAILS

Position Title:

Department:

Reports To:

FLSA Status:

Exempt in all states but CA

Job Grade:

Next step in progression could include Senior Claims Examiner

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 II to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, 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.

As an Inside Property and Casualty Claims Examiner II, this candidate will be responsible for the review, analysis, and process of moderate to severe commercial auto claims with an opportunity to handle Commercial Property, Inland Marine, and General Liability claims. These claims are typically moderate exposure and may entail litigation and coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests.

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:

Investigate, evaluate, and determine settlement value or denial of liability for moderate to severe level commercial auto claims
Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level
Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management
Manage the litigation process through the retention of counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment
Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure.
Ensure appropriateness of all payments
Coordinate and work with a vendor service such as appraiser, independent adjusting firms, contractors, social media and private investigation and various other field service vendors
Facilitate between claimants, clients, brokers, and attorneys in resolution of liability claims
Exchange information with clients, claimants, insurance brokers, inspectors, producers, and account managers
Attend meetings and educational seminars for professional development
Maintain required licenses
Conduct quarterly claim reviews with the client

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 5 years of commercial auto handling experience
Knowledge of tort law, civil procedure, and contract law
Knowledge of auto insurance laws, codes, procedures, and liability concepts
Knowledge of property and casualty insurance policies
Proficiency in investigation and resolution of minor to medium level auto physical damage claims. Limited minor BI claims may be optional
Relies on extensive experience and judgment to plan and accomplish goals in a fast-paced environment
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

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