Claims Supervisor III - Property & Casualty

Athens Administrators•Lake Mary, FL

2d•Hybrid

About The Position

Athens Administrators has an immediate need for a full-time Claims Supervisor III 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. 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 is responsible for supervising, directing, and coordinating the activities of a team handling complex liability claims within assigned authority limits and consistent with good faith handling practices. These claims are typically mid to high exposure. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests.

Requirements

High School Diploma or equivalent (GED) required for all positions
Possesses 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 preferred
Additional State Adjuster License(s), may be required within 180 days
Maintain licenses and continuing education requirements in all states.
8+ years’ experience in a claims lead or supervisor position required
High exposure Auto, GL and Professional Liability claims experience
Relies on extensive experience and judgment to plan and accomplish goals with a minimum 8-10 years’ complex/major claims experience including proficiency in investigation and resolution of mid to severe to major casualty claims
In-depth understanding of company operating structure
Thorough knowledge of claims procedures, litigation management, client reporting requirements and Multi-line coverage exposures
Proficiency in determining case value, negotiating settlements, and understanding CA jurisdictional statutes and regulatory requirements that drive exposure
Comprehensive knowledge of claims handling systems
Maintain confidentiality of information
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
Advanced verbal, interpersonal and written communication skills
Skilled at presenting in small and large group settings unique to self-insured districts.
Effectively influence people to achieve unit and organizational objectives
Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management, and other key stakeholders) to achieve organizational goals
Mathematical calculating skills
Exercise independent judgment and analytic ability in solving complex and sensitive problems
Computer processing skills, including the ability to leverage technology for self and staff to improve efficiency
Ability to type quickly, accurately and for prolonged periods
Proficient in Microsoft Office Suite
Ability to learn additional computer programs
Able to plan, prioritize and organize claims workload for a unit
Ability to work independently and in a group setting
Strong attention to detail and the ability to research and resolve problems
Advanced 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.
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 senior and complex examiners handling claims of a severe and complex nature involving bodily injury, property damage, occurrence or claims made and complex coverage. Exposures are typically valued at levels of 100K or higher
Able to handle multiple coverage lines with specific concentration on high exposure Auto, GL, PL (E&O) involving varying program segments
Plans, schedules, and supervises the work activities of the unit's personnel 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 refers claim expenses and settlements that exceed personal authority limits for approval
Oversight of complex and reportable litigation and coverage cases. Serves as the primary liaison between the examiners and clients on case conferences and referrals
Must be able to interpret coverage, provide guidance on coverage matters and review reservation of rights and disclaimers for carrier approval
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
Conducts regular 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
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 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, and procedures to fulfill the service requirements of the account.
Reviews and evaluates performance of staff in accordance with company performance guidelines
Resolves employee/workflow problems
Leads staff unit meetings
Attends client and company meetings, as required, either in-person or remotely
Conducts claim reviews with clients 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 supervision to examiners, adjusters, claims assistants and all liability claims staff
Review and approve direct report’s monthly expense reports