Client Services Claims Assistant

Athens Administrators; Parsippany-Troy Hills (NJ); Hybrid; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical

Vision

Dental

401k

Paid time off

Job summary

Athens Administrators is seeking a Client Services Claims Assistant to support our Property & Casualty department. The role emphasizes accurate data entry, claims research, and back-office support to Examiners and Supervisors.

The position offers a hybrid work arrangement with some in-office days and remote capabilities contingent on location and requirements. We value organization, strong communication, and teamwork in delivering client service.

Qualifications

• High School Diploma or GED required for all positions.
• AA/AS or BA/BS preferred but not required.
• Minimum 2 years auto claims experience preferred.
• Minimum of one year customer service-related experience.
• Multi Line Property & Casualty claims experience preferred.
• Well-developed verbal and written communication skills with strong attention to detail.
• Proficient in Microsoft Office Suite; ability to learn additional computer programs.

Responsibilities

• Obtain coverage documents for new claims, research and enter policy information from available information and on-line web sites.
• Serve a backup role to outsource vendor (ResourcePro) when needed.
• Develop in-depth knowledge of carrier policy issuance systems and determination of policy deductible levels.
• Process initial deductible notification letters at the time losses are set up by RSP.
• Issue 60- & 90-day notice collection letters to policyholders.
• Develop excel tracking logs to maintain properly recorded notifications and timely follow up.
• Set and track daily diary in Outlook or in CLAIMSXPRESS to strictly adhere to collection deadlines.
• Interact with agents and Athens Supervisors if reimbursement is not issued timely and underwriting or agency intervention is necessary.
• Provide general office support by answering phones to service customers and clients.
• Document file activity in claim notes.
• Update information on individual claims in claims system, i.e. address changes, etc.
• Work collaboratively with Claims Assistants, Examiners, and Supervisor(s).
• Resolve billing inquiries and questions from clients.
• Research the daily pending claims report from RSP.
• Special projects as assigned by Supervisor

Skills

Microsoft Office

Customer Service

Attention to Detail

Communication

Education

High School Diploma or GED

AA/AS or BA/BS preferred

Tools

Policy Issuance Systems

Job description

Position:Client Services Claims Assistant

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!

Athens Administrators has an immediate need for a Client Services Claims Assistant 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.

The Claims Assistant will lead Client Services Technical Assignments including loss run analysis, researching claims and claims inquiries, data projects and third-party deductible recovery processes, general office duties and provide support to Claim Examiners and Supervisor, ensuring timely processing of claims.

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:

• Obtain coverage documents for new claims, research and enter policy information from available information and on-line web sites
• Serve a backup role to outsource vendor (ResourcePro) when needed
• Develop in-depth knowledge of carrier policy issuance systems and determination of policy deductible levels
• Process initial deductible notification letters at the time losses are set up by RSP
• Issue 60- & 90-day notice collection letters to policyholders
• Develop excel tracking logs to maintain properly recorded notifications and timely follow up
• Set and track daily diary in Outlook or in CLAIMSXPRESS to strictly adhere to collection deadlines
• Interact with agents and Athens Supervisors if reimbursement is not issued timely and underwriting or agency intervention is necessary
• Provide general office support by answering phones to service customers and clients
• Document file activity in claim notes
• Update information on individual claims in claims system, i.e. address changes, etc.
• Work collaboratively with Claims Assistants, Examiners, and Supervisor(s)
• Resolve billing inquiries and questions from clients
• Research the daily pending claims report from RSP
• Special projects as assigned by Supervisor

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
• Minimum 2 years auto claims experience preferred-but not required
• Minimum of one year customer service-related experience
• Multi Line Property & Casualty claims experience preferred-but not required
• 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/ Affiantive 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!

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