Athens Administrators
Claims Examiner II - Public Entity
Athens Administrators, Orange, California, United States, 92613
Athens Administrators - Job Details
This range is provided by Athens Administrators. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $45.00/hr - $47.00/hr Athens Position Details Position Title:
Claims Examiner II Department:
Property & Casualty Reports To:
Claims Supervisor P&C FLSA Status:
Non-Exempt in California Job Grade:
11 Career Ladder:
Next step in progression could include Senior 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 thrive and Athens is recognized as a “Best Place to Work.” 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 Claims Examiner II to support public entity and special district accounts for our Property & Casualty department. This Examiner must reside in California in order to attend file reviews and meetings. Employees who live less than 26 miles from the Concord, or Orange 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 California. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We focus on commercial business specialization across multiple coverage lines. Athens offices are open 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. As an Inside Property and Casualty Claims Examiner II, this candidate will be responsible for the review, analysis, and processing of moderate to severe commercial general liability and commercial auto claims. These claims are typically moderate exposure and are associated with schools governed under Joint Power Authority regulation. Claims will entail multi-line claims with minor litigation and potential coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. Primary Responsibilities Investigate, evaluate, and determine settlement value or denial of liability for moderate to severe level commercial general liability and 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 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 when necessary 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 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 and a minimum of one license in any of the following states: NY, TX or FL preferred CA License required (CQ to add to all job descriptions) Additional State Adjuster License(s) may be required within 180 days Maintain licenses and continuing education requirements in all states. Minimum of 5 years of commercial general liability and commercial auto handling experience Experience with relevant CA insurance laws, codes, and procedures Familiarity and understanding of the handling standards and requirements of public entities and special districts, including due process and procedure Proficiency in investigation and resolution of low to mid-level public entity and special district claims preferred Knowledge of property and casualty insurance policies Knowledge of tort law, civil procedure, and contract law Knowledge of insurance laws, codes, procedures, and liability concepts 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 Ability to be trustworthy, dependable, and team-oriented Athens’ operations involve handling confidential, proprietary, and highly sensitive information. Maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. 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 Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act by visiting the related official notice. Equal Opportunity
and
Affirmative Action
statements are included to comply with legal requirements. 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. Thank you!
We look forward to reviewing your information. Visit our website at www.athensadmin.com and our social pages for more. Athens Administrators offers competitive compensation and a comprehensive benefits package which may include Medical, Vision, Dental, Life and AD&D, Long Term Care, 401k options, and more. Further information about our benefits is available on our website. Seniority level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries
Insurance Referrals increase your chances of interviewing at Athens Administrators. Location details may be included in posting history.
#J-18808-Ljbffr
This range is provided by Athens Administrators. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $45.00/hr - $47.00/hr Athens Position Details Position Title:
Claims Examiner II Department:
Property & Casualty Reports To:
Claims Supervisor P&C FLSA Status:
Non-Exempt in California Job Grade:
11 Career Ladder:
Next step in progression could include Senior 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 thrive and Athens is recognized as a “Best Place to Work.” 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 Claims Examiner II to support public entity and special district accounts for our Property & Casualty department. This Examiner must reside in California in order to attend file reviews and meetings. Employees who live less than 26 miles from the Concord, or Orange 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 California. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We focus on commercial business specialization across multiple coverage lines. Athens offices are open 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. As an Inside Property and Casualty Claims Examiner II, this candidate will be responsible for the review, analysis, and processing of moderate to severe commercial general liability and commercial auto claims. These claims are typically moderate exposure and are associated with schools governed under Joint Power Authority regulation. Claims will entail multi-line claims with minor litigation and potential coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. Primary Responsibilities Investigate, evaluate, and determine settlement value or denial of liability for moderate to severe level commercial general liability and 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 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 when necessary 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 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 and a minimum of one license in any of the following states: NY, TX or FL preferred CA License required (CQ to add to all job descriptions) Additional State Adjuster License(s) may be required within 180 days Maintain licenses and continuing education requirements in all states. Minimum of 5 years of commercial general liability and commercial auto handling experience Experience with relevant CA insurance laws, codes, and procedures Familiarity and understanding of the handling standards and requirements of public entities and special districts, including due process and procedure Proficiency in investigation and resolution of low to mid-level public entity and special district claims preferred Knowledge of property and casualty insurance policies Knowledge of tort law, civil procedure, and contract law Knowledge of insurance laws, codes, procedures, and liability concepts 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 Ability to be trustworthy, dependable, and team-oriented Athens’ operations involve handling confidential, proprietary, and highly sensitive information. Maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. 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 Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act by visiting the related official notice. Equal Opportunity
and
Affirmative Action
statements are included to comply with legal requirements. 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. Thank you!
We look forward to reviewing your information. Visit our website at www.athensadmin.com and our social pages for more. Athens Administrators offers competitive compensation and a comprehensive benefits package which may include Medical, Vision, Dental, Life and AD&D, Long Term Care, 401k options, and more. Further information about our benefits is available on our website. Seniority level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries
Insurance Referrals increase your chances of interviewing at Athens Administrators. Location details may be included in posting history.
#J-18808-Ljbffr