Claims Examiner II - Commercial Auto PD/BI

Athens Administrators • Lake Mary, FL

4d • Hybrid

About The Position

Athens Administrators is hiring a full-time Claims Examiner II for its Property & Casualty department. The role reviews, analyzes, and processes moderate-to-severe commercial auto claims, which may involve litigation and coverage issues, with opportunities to handle Commercial Property, Inland Marine, and General Liability claims. The position aims to provide quality service to customers while protecting their interests.

Employees who live less than 26 miles from the Concord, California; Orange, California; San Antonio, Texas; or Lake Mary, Florida offices are required to work in the office once a week. The remaining days may be worked remotely if technical requirements are met and the employee lives in a state where Athens operates. 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 position is exempt in all states except California, is in Job Grade 11, and reports to a Claims Supervisor. The next step in the career ladder may be Senior Claims Examiner.

Requirements

• High school diploma or GED required.
• Must hold an adjuster license in the employee’s domiciled state or designated home state and at least one license in New York, Texas, or Florida; additional state adjuster licenses may be required within 180 days.
• 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 investigating and resolving minor-to-medium auto physical damage claims; limited minor bodily injury claims may be optional.
• Negotiation skills and sound judgment in a fast-paced environment.
• Strong verbal and written communication skills, attention to detail, organization, and ability to multitask.
• Ability to type quickly and accurately for prolonged periods.
• Proficiency in Microsoft Office Suite and ability to learn additional computer programs.
• Problem-solving and analytical ability, including researching and analyzing facts, identifying issues, and making appropriate recommendations.
• Ability to be trustworthy, dependable, and team-oriented, and to act with integrity when handling sensitive information.
• Ability to provide professional, considerate service to team members and clients.

Nice To Haves

• Associate of Arts/Associate of Science or Bachelor of Arts/Bachelor of Science degree preferred, but not required.

Responsibilities

• Investigate and evaluate moderate-to-severe commercial auto claims and determine settlement value or whether liability should be denied.
• Establish appropriate indemnity and expense reserves within settlement authority, review reserves regularly, and recommend reserve levels for claims outside authority.
• Prepare comprehensive reports and communicate claim trends and account or policy issues to management.
• Manage litigation, including retaining counsel and following litigation guidelines for budgets, bill review, and payment.
• Document and manage claims from inception to closure, including recording statements, updating diaries, and writing reports.
• Ensure all payments are appropriate.
• Coordinate with appraisers, independent adjusting firms, contractors, social media and private investigators, and other field-service vendors.
• Facilitate resolution of liability claims among claimants, clients, brokers, and attorneys.
• Exchange information with clients, claimants, insurance brokers, inspectors, producers, and account managers.
• Attend meetings and educational seminars for professional development.
• Maintain required licenses and continuing education requirements.
• Conduct quarterly claim reviews with clients.
• Reliably commute to meetings and events as required.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Life and AD&D insurance
• Long-term care insurance
• Critical care insurance
• Accident insurance
• Hospital indemnity insurance
• HSA and FSA options
• 401(k) and Roth 401(k)
• Company-paid short-term disability
• Company-paid long-term disability
• Eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED