Claims Examiner I - Commercial Auto PD

Athens Administrators•Lake Mary, FL

30d•Hybrid

About The Position

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

Requirements

High School Diploma or equivalent (GED) required for all positions
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 general claims handling experience
Knowledge of property and casualty insurance policies
Knowledge of insurance laws, codes, procedures, and liability concepts
Proficiency in investigation and resolution of minor to medium level casualty claims
Knowledge of general liability insurance principles, codes, procedures, and liability concepts
Knowledge of insurance laws, codes, procedures, and liability concepts
Ability to evaluate contracts and review policies for coverage
Familiarity with labor and material costs to evaluate repair estimates
Understanding of premise liability and risk transfer concepts
Proficiency in investigation and resolution of minor to medium level BI and PD general liability damage 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
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

Nice To Haves

AA/AS or BA/BS preferred but not required
Familiarity with construction methods and building components preferred

Responsibilities

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