Claims Examiner - Commercial Auto

Career Ladder

Next step in progression could include Claims Examiner II

Position Title:

Claims Examiner I – Commercial Auto

Department:
Property & Casualty

Reports To:

Claims Supervisor

FLSA Status:
Exempt in all state except California

Job Grade: 9

Career Ladder:
Next step in progression could include Claims Examiner II

Explore the Athens Administrators difference:
We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a "Best Place to Work." Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family‑owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care.

Embrace a change and come make an impact with the Athens Administrators family today!

Athens Administrators has an immediate need for a full-time Claims Examiner I to support our Property & Casualty department. Employees who live less than 26 miles from the San Antonio, TX, or Lake Mary, FL offices 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 resides in a state Athens operates in (includes CA, CT, FL, GA, , IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA and WV).

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. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday through Friday at 37.5 hours per week.

The Claims Examiner I is responsible for the timely investigation, evaluation and determination of settlement or denial of minor to moderate multi-line auto property and casualty claims. They will be handling claims from inception to closure.

• Knowledge in the following areas:
  1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge,
  2) functional knowledge of law and insurance regulations in various jurisdictions,
  3) demonstrated advanced verbal and written communications skills,
  4) demonstrated analytical, decision making and negotiation skills.
• Investigate coverage, including evaluate insurance coverage problems and/or disputes
• Investigate, evaluate and determine settlement value or denial of liability for all claims
• Develop a measure of damage for each loss, establish and maintain appropriate reserves
• Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure
• Ensure appropriateness of all payments
• Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
• Maintain and update action plans for each claim
• May assign and coordinate with vendors, legal counsel, appraisers or experts as necessary
• Facilitate between claimants, clients, brokers and attorneys in resolution of liability claims
• Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers
• Provide customer service and support to insureds and claimants
• Assist in training of new employees
• Attend meetings and educational seminars for professional development
• Maintain required licenses

• High School Diploma or equivalent (GED) required for all positions
  • AA/AS or BA/BS preferred but not required
• 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
• Minimum of three years auto-claims handling experience, at least one-year commercial auto required
• Knowledge of property and casualty insurance policies
• Knowledge of auto insurance laws, codes, procedures, and liability concepts
• Proficiency in investigation and resolution of 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 with strong attention to detail
• Excellent…