Senior Claims Examiner - Commercial Trucking

ATHENS POSITION DETAILS Position Title: Senior Claims Examiner – P&C Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state but California Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS 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! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Senior Claims Examiner 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, ID, 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. The Senior Claims Examiner is responsible for the review, analysis and processing of complex commercial auto and trucking claims within assigned authority limits and consistent with policy and legal requirements. These claims are typically high 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. The desk will include bodily injury claims and requires such experience. 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 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 an 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, updated diaries, write reports) from inception through closure Ensure appropriateness of all payments Capability to adjust large commercial property losses Exchange information with clients, claimants, insurance brokers, inspectors producers and account managers Assist in training of n…

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