Claims Examiner II - Commercial Auto

Location:

San Antonio, TX Job  # of Openings: 1 Athens Position Details

Position Title:

Department:
Property & Casualty

Reports To:

FLSA Status:
Exempt in all states but CA Job Grade: 11

Next step in progression could include Senior Claims Examiner

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 II to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, 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.

As an Inside Property and Casualty Claims Examiner II, this candidate will be responsible for the review, analysis, and process of moderate to severe commercial auto claims with an opportunity to handle Commercial Property, Inland Marine, and General Liability claims. These claims are typically moderate exposure and may entail litigation and coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests.

Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:

Advanced 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 advanced analytical, decision making and negotiation skills.

• Investigate, evaluate, and determine settlement value or denial of liability for moderate to severe level commercial auto claims
• Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level
• Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management
• Manage the litigation process through the retention of counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment
• Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure.
• Ensure appropriateness of all payments
• Coordinate and work with a vendor service such as appraiser, independent adjusting firms, contractors, social media and private investigation and various other field service vendors
• Facilitate between claimants, clients, brokers, and attorneys in resolution of liability claims
• Exchange information with clients, claimants, insurance brokers, inspectors, producers, and account managers
• Attend meetings and educational seminars for…