Claims Supervisor II - Commercial Auto PD/BI

Athens AdministratorsLake Mary, FL
Hybrid

About The Position

Athens Administrators has an immediate need for a full-time Claims Supervisor II to support our Property & Casualty department. Management that lives less than 36 miles from our local office AND have a direct report in the office, 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 lives in a state we operate in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA and WV). Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. Employees work a 37.5-hour work week. 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. The Claims Supervisor II will be responsible for supervising, directing and coordinating the activities of an assigned liability claims units located in both our offices and remote.

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.
  • 5-7+ years’ experience in a claims lead or supervisor position preferred
  • Commercial Auto, Bodily Injury, Property Damage and General Liability experience required
  • In-depth understanding of company operating structure
  • Thorough knowledge of claims operating procedures including standards and compliance
  • Proficiency in determining case value and negotiating settlements
  • Comprehensive knowledge of claims handling systems
  • Thorough knowledge in coverage and claims investigation techniques.
  • People management skills including interviewing skills, training, team building, and performance management.
  • Proficiency at applying business and technical acumen by understanding how the business works and how technology supports business initiatives. Leverages technology for self and staff to improve efficiency.
  • Handles stressful situations and deadline pressures well
  • Thinks strategically and creatively about business (pricing, products and outcomes)
  • Partnering with team to ensure on time task completion; done through delegation and leading by example, executing tasks rather than just instructing to execute tasks
  • Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully.
  • Command of company and department policies, practices and procedures including supervision, training and performance evaluation.
  • Able to track claims activity and properly document all actions
  • Skilled at presenting in small and large group settings
  • Effectively influence people to achieve unit and organizational objectives
  • Mathematical calculating skills
  • Able to plan, prioritize and organize claims workload for a unit
  • Well-developed verbal and written communication skills with strong attention to detail
  • Highly developed organizational skills to meet multiple deadlines and to plan and effectuate short and long range Company and department objectives
  • Must be flexible, adaptable, and positive. Exhibit passion and energy for ensuring that all employees are respected and treated in a manner consistent with Athens Values.
  • Ability to type quickly, accurately and for prolonged periods
  • Proficient in Microsoft Office Suite
  • Ability to learn additional computer programs
  • 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
  • Availability for extended and long distance, overnight travel, when required

Nice To Haves

  • AA/AS or BA/BS preferred but not required

Responsibilities

  • Responsible for handling a unit of mid-level, experienced examiners, capable of handling both property damage and bodily injury with reportable exposures valued at $50K or higher
  • Lower-level litigation and coverages cases may emerge or exist from the inventory load of the unit. Claims of this nature would be expected to be handled within the group.
  • Plans, schedules, and supervises the work activities of the unit in reviewing, analyzing, investigating, negotiating, and settling claims in compliance with established standards and expectations
  • Reviews claim loss reports, assesses complexity of submitted claims and assures claims are assigned to appropriate personnel (based on licensure, knowledge, skills and abilities) to ensure optimal claims handling within team; serves as a technical resource for staff as necessary
  • Reviews and approves, within assigned authority limits, claim expenses and settlements that exceed the claim adjusters granted authority; appropriately reviews claim expenses and settlements that exceed personal authority limits for approval
  • If required, able to handle multiple coverage lines with specific concentration on mid-level GL exposure involving varying program segments, such as retail, habitational or other business class exposure.
  • Monitors and evaluates reserves for claims within the unit to ensure that they are adequate and that reserve adjustments are made, when necessary, consistent with established time frames and best practices
  • Conducts regular desk reviews of pending and closed files to determine whether claims are handled appropriately; identifies areas for improvement and discusses individual training and development needs as necessary
  • Prepares monthly reports on quality control, pending and closed file reviews and reserve activity to track and communicate unit performance relating to production, opportunity areas and significant achievements
  • Maintains awareness of existing and proposed legislation, court decisions and emerging trends in claims litigation to monitor the company's compliance with the Unfair Claims Practices Act and to recommend process and/or procedure changes
  • May participate in special projects such as analyzing reserves, leakage, methods for pending reduction and acquisition candidates
  • Review and approve direct report monthly expense reports and related operating expenses for their assigned unit.
  • Works closely with all levels of management to ensure compliance with budget targets for compensation, expense control and profitability.
  • Assists in the selection of and monitors the performance of external vendors.
  • Works closely with the Senior Claims Examiners and claims management team to identify needs of the unit and assist with hiring, training, motivating, and retaining staff, evaluating staff performance, encouraging staff development, recommending salary actions, and, as necessary, developing performance improvement plans and recommending individual terminations of employment.
  • Works with Management to achieve company initiatives and performance goals.
  • Works with clients to address issues regarding policies, programs and/or claims.
  • Reviews and evaluates performance of staff in accordance with company performance guidelines
  • Resolves personnel/workflow problems
  • Leads staff unit meetings
  • Attends client and company meetings
  • Conducts claim reviews with clients, carriers, and other stakeholders
  • Assures consistent and accurate claims coding throughout the unit
  • Supervising, scheduling, assigning, monitoring and evaluating work of assigned staff are responsibilities for supervisor positions.
  • Provide direct supervisions to examiners, adjusters, claims assistants and all liability claims staff
  • Review and approve direct report’s monthly expense reports and related operating expenses for their assigned unit.

Benefits

  • Medical
  • Vision
  • Dental
  • Life and AD&D
  • Long Term Care
  • Critical Care
  • Accidental
  • Hospital Indemnity
  • HSA & FSA options
  • 401k (and Roth)
  • Company-Paid STD & LTD
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