Claims Examiner II - Commercial Auto BI

Athens Administrators • San Antonio, TX

2d • 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. There may also be opportunities to handle Commercial Property, Inland Marine, and General Liability claims. The position aims to deliver 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 must work in the office once a week. The other workdays may be remote if technical requirements are met and the employee resides 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 requires advanced claims-handling knowledge, including coverage issues and product-line knowledge, familiarity with laws and insurance regulations across jurisdictions, and strong communication, analytical, decision-making, and negotiation skills. The role reports to the Claims Supervisor, and the next career progression may be Senior Claims Examiner.

Requirements

• High school diploma or GED.
• At least five years of commercial auto claims-handling experience.
• 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.
• Maintain licenses and continuing education requirements in all states.
• 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.
• Well-developed verbal and written communication skills and strong attention to detail.
• Organizational skills and ability to multitask in a fast-paced environment.
• 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 recommending appropriate solutions.
• Trustworthiness, dependability, integrity, and a team-oriented approach.
• Ability to provide professional, friendly service and demonstrate care and concern for colleagues and clients.
• Must be able to reliably commute to meetings and events as required.

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 and review them regularly for adequacy; recommend reserve levels for claims outside the position’s 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 through closure, including recording statements, updating diaries, and writing reports.
• Ensure that payments are appropriate.
• Coordinate with appraisers, independent adjusting firms, contractors, social media and private investigation services, 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 the client.
• Reliably commute to meetings and events as required.

Benefits

• Medical, vision, and dental plans.
• Life and accidental death and dismemberment insurance.
• Long-term care, critical care, accident, and hospital indemnity plans.
• Health savings account and flexible spending account options.
• 401(k) and Roth 401(k).
• Company-paid short-term disability and 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