Claims Examiner I - Commercial Auto jobs in United States
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Athens Administrators · 3 months ago

Claims Examiner I - Commercial Auto

Athens Administrators is a dynamic leader in claims administration, seeking a full-time Claims Examiner I to support their Property & Casualty department. The role involves the timely investigation, evaluation, and determination of settlement or denial of auto property and casualty claims, focusing on trucking and property damage claims.

ComplianceFinancial ServicesInsuranceProperty Insurance
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Growth Opportunities

Responsibilities

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

Qualification

Claims handling conceptsAuto insurance lawsNegotiation skillsPropertyCasualty knowledgeInvestigation skillsMicrosoft Office SuiteVerbal communicationWritten communicationOrganizational skillsTeam-oriented

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 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 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
Truckin 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

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Athens Administrators is an insurance firm that offers worker's compensation, program business, managed care, property & casualty services.

Funding

Current Stage
Late Stage
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