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Company

Athens Administrators · 1 day ago

Claims Examiner I - Property Damage (PD)

Florida, United States

Full-time

Remote

Entry Level

3+ years exp

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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

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Auto claims handlingCommercial auto experienceCasualty knowledgeInsurance regulations knowledgeMicrosoft Office proficiencyTPA experienceTyping skillsMulti-tasking abilityContinuing education

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.

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.