Senior Complex Claims Specialist - P&C (Remote)

Athens Administrators, Inc.; Florida; Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Competitive benefits package

Work-life balance culture

Career advancement opportunities

Job summary

Athens Administrators, Inc. has an immediate need for a full-time Complex Claims Specialist to support our Property & Casualty department. Remote work is possible with in-office presence required weekly for certain locations; employees must reside in states Athens operates in, including FL.

The role reviews, investigates, analyzes, and processes complex claims within authority, often involving litigation. It supports our specialty programs across multiple lines, ensuring quality service while

Qualifications

• Minimum 10 years of complex/major claims experience with strong investigation and resolution skills.
• Active licenses in NY, TX, or FL preferred; maintain licenses and education as required.
• Able to handle high exposure claims and coordination with litigation teams.

Responsibilities

• Analyze, investigate, and evaluate losses to determine coverage, settlement value and disposition strategy.
• Establish reserves for indemnity and expense within authority; review adequacy regularly.
• Prepare comprehensive reports; identify trends and issues for clients and senior management.
• Manage litigation process with selected counsel; adhere to guidelines and budgets.
• Document claims from inception to closure with thorough diaries and reports.
• Ensure accuracy of coverage memorandums and payments.
• Coordinate with vendors, such as law firms and experts, to manage complex claims.
• Lead claim reviews and analyses with committees or district authorities.
• Provide superior service to all levels of authority within the county.
• Assist in hiring additional examiners and mentor junior staff.
• Conduct meetings or training to develop examiners; attend required professional events.

Skills

Complex claims handling

Verbal & written communication

Analytical thinking

Negotiation

Litigation management

Time management

Project management

MS Office

Typing speed

Education

High School Diploma or GED

AA/AS or BA/BS preferred

Job description

Athens Administrators, Inc. has an immediate need for a full-time Complex Claims Specialist to support our Property & Casualty department. Remote work is possible with in-office presence required weekly for certain locations; employees must reside in states Athens operates in, including FL.

The role reviews, investigates, analyzes, and processes complex claims within authority, often involving litigation. It supports our specialty programs across multiple lines, ensuring quality service while