Claims Examiner II - General Liability Job at Athens Administrators
Athens Position Details
Position Title: Claims Examiner II – General Liability
Department: Liability Claims
Reports To: Claims Supervisor
FLSA Status: Exempt in all states but CA
Job Grade: 11
ATHENS ADMINISTRATORS
Since our founding in 1976, Athens Administrators has been a recognized leader in third-party claims administration services. However, more important than what we do is how we do it. Athens employees provide service that translates into real and lasting benefits—every single day! With offices throughout the United States, Athens Administrators offers Workers’ Compensation, Property & Casualty, Managed Care and Program Business solutions. Athens is proud to be a third-generation family-owned company and is dedicated to its core values of honesty and integrity, a commitment to service and results, and a caring family culture. We are so proud that our employees have consistently voted Athens as a Best Place to Work!
POSITION SUMMARY
Athens Administrators has an immediate need for a Claims Examiner II - GL to support our Property & Casualty department and can be located remotely if technical requirements are met and the employees resides in a state Athens operates in. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. As a Claims Examiner II – General Liability, this candidate will be responsible for the review, analysis and process of moderate to complex claims with an opportunity to handle Property Damage and General Liability claims. These claims are typically higher exposure and often entail litigation and coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests.
PRIMARY RESPONSIBILITIES
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 severe to major level General Liability 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 services such as appraiser, independent adjusting firms, contractors, emergency repair, cleaning services and various replacement services
- Capability to adjust Commercial Property losses
- Facilitate between claimants, clients, brokers and attorneys in resolution of liability claims
- Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers
- Superior customer service skills
- Attend meetings and educational seminars for professional development
- Maintain required licenses
- Conduct quarterly claim reviews with the client
ESSENTIAL POSITION REQUIREMENTS
The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
- 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.
- Relies on extensive experience and judgment to plan and accomplish goals in a fast-paced environment
- Minimum of 5 years of general liability handling experience
- Must have knowledge of general liability insurance principles, codes, liability concepts and coverages
- Knowledge of property and casualty insurance policies
- Proficiency in investigation and resolution of moderate to complex general liability claims
- Strong negotiation skills and ability to achieve optimal settlement results for clients
- Understanding of premise liability and risk transfer concepts
- Ability to follow instruction and communicate with key clients on critical issues
- Well-developed verbal and written communication skills
- Strong attention to detail and the ability to research and resolve problems
- Negotiation skills
- 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
APPLY WITH US
We look forward to learning about YOU! To be considered, please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings/ Feel free to include a cover letter if you’d like to share any other details. All applications received are reviewed by our in-house Corporate Recruiter.
This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.
Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
THANK YOU!
We look forward to reviewing your information. Applying for jobs isn’t necessarily fun, but we promise we are. Don’t forget to check out our website at www.athensadmin.com as well as our LinkedIn, Glassdoor, and Facebook pages!
Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Additionally, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. Further information about our comprehensive benefits package may be found on our website at
https://www.athensadmin.com/careers/why-work-here
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