Claims Examiner I - Commercial Auto

Athens Administrators•Parsippany, NJ

1d•Hybrid

About The Position

Athens Administrators is hiring a full-time Claims Examiner I for its Property & Casualty department. The role investigates, evaluates, and determines settlement or denial of minor to moderate, multi-line auto property and casualty claims, handling claims from inception through closure. The position includes evaluating coverage and liability, determining damages and reserves, documenting and managing claim files, ensuring appropriate payments, and negotiating settlements within individual authority, generally $15,000 unless otherwise noted. Employees living less than 26 miles from the San Antonio, Texas, or Lake Mary, Florida, offices are required to work in the office once a week. Other days may be worked remotely if technical requirements are met and the employee lives in a state where Athens operates: California, Connecticut, Florida, Georgia, Idaho, Illinois, Massachusetts, New York, North Carolina, New Jersey, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or West Virginia. The schedule is Monday through Friday, 37.5 hours per week. Athens offices are open Monday through Friday from 7:30 a.m. to 5:30 p.m. local time. The role may coordinate with vendors, legal counsel, appraisers, or experts; facilitate claim resolution among claimants, clients, brokers, and attorneys; provide customer service; assist with training new employees; attend professional development meetings and seminars; and maintain required licenses. The Claims Examiner I reports to the Claims Supervisor. The next career progression may include Claims Examiner II.

Requirements

High school diploma or equivalent (GED).
A license from the employee's domiciled state and at least one license in New York, Texas, or Florida.
Additional state adjuster licenses may be required within 180 days.
At least three years of auto-claims handling experience, including at least one year of commercial auto experience.
Knowledge of property and casualty insurance policies.
Knowledge of auto insurance laws, codes, procedures, and liability concepts.
Proficiency investigating and resolving 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 and strong attention to detail.
Strong organizational skills and ability to multitask.
Ability to type quickly, accurately, and for prolonged periods.
Proficiency with Microsoft Office Suite and ability to learn additional computer programs.
Reasoning, problem-solving, and analytical skills, including researching and analyzing facts, identifying issues, and recommending appropriate solutions.
Trustworthiness, dependability, and a team-oriented approach.
Commitment to service and results, with innovative strategies and methods.
Ability to demonstrate care and concern for team members and clients in a professional, friendly manner.
Integrity and dependability, especially in difficult or challenging situations and when handling confidential, proprietary, and sensitive information.

Nice To Haves

Associate of Arts/Associate of Science (AA/AS) or Bachelor of Arts/Bachelor of Science (BA/BS) degree.

Responsibilities

Investigate insurance coverage, including coverage problems and disputes.
Investigate and evaluate claims and determine settlement value or denial of liability.
Develop a measure of damage for each loss and establish and maintain appropriate reserves.
Document and manage claims from inception to closure, including recording statements, updating diaries, and writing reports.
Ensure all payments are appropriate.
Negotiate claim settlements within individual authority, generally $15,000 unless otherwise noted.
Maintain and update action plans for each claim.
Assign and coordinate with vendors, legal counsel, appraisers, or experts as necessary.
Facilitate resolution of liability claims among claimants, clients, brokers, and attorneys.
Exchange information with clients, claimants, insurance brokers, inspectors, producers, and account managers.
Provide customer service and support to insureds and claimants.
Assist in training new employees.
Attend meetings and educational seminars for professional development.
Maintain required licenses and continuing education requirements.
Reliably commute to meetings and events as required by the position.