Athens Administrators · 2 months ago
Claims Examiner II (PIP)
United States
Full-time
Remote
Senior Level
$67K/yr - $94K/yr
5+ years expAthens Administrators is a leader in claims administration, fostering an engaging and supportive environment for its employees. They are seeking a Claims Examiner II to support the Property & Casualty department by reviewing, analyzing, and processing no-fault auto liability claims, while ensuring quality service delivery to customers.
ComplianceFinancial ServicesInsuranceProperty Insurance
Responsibilities
Investigate, evaluate, and determine settlement value of moderate level PIP 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 professional development
Maintain required licenses
Conduct quarterly claim reviews with the client
Qualification
Required
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
Minimum of 5 years PIP claims handling experience
Knowledge regarding the handling and resolutions of arbitrations relating to New York PIP
Knowledge of laws and regulations regarding PIP in multiple jurisdictions. Primary jurisdictions would be NY, FL, and NJ
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
Negotiation skills
Relies on extensive experience and judgment to plan and accomplish goals in a fast-paced environment
Well-developed verbal and written communication skills with strong attention to detail
Excellent organizational skills and ability to multi-task
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
Must be able to reliably commute to meetings and events as required by this position
Preferred
AA/AS or BA/BS preferred but not required
NY PIP experience preferred
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
Company
Athens Administrators
Athens Administrators is an insurance firm that offers worker's compensation, program business, managed care, property & casualty services.
501-1000 employees
Funding
Current Stage
Late StageRecent News
2025-11-09
2025-11-07
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