Senior Commercial Property Claims Examiner
Athens Administrators, Trenton, New Jersey, United States
Career Ladder:
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. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. 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 claims, with emphasis on commercial property and residential property, business interruption, and inland marine claims within assigned authority limits and consistent with policy and legal requirements.
Primary Responsibilities
Claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge
Functional knowledge of law and insurance regulations in various jurisdictions
Advanced verbal and written communication skills
Advanced analytical, decision making and negotiation skills
Within prescribed settlement authority, establish appropriate reserves for indemnity and expense, and conduct reviews on a regular basis to ensure reserve adequacy.
Fully evaluate losses, including expense budgeting and all available property limits (including sub-limits) to make recommendations and set proper reserves at appropriate levels for claims within and outside of client authority level.
Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management.
Manage all processes requiring estimating, assessment, valuation, and applicable depreciation, including interpretation and evaluation of applicable insurance contracts in the assessment process.
Possess familiarity with scoping, estimating and use of Xactimate and other valuation programs.
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 vendor services such as independent adjusting firms, contractors, consultants, forensic accountants, engineers, emergency repair, cleaning services and various replacement services to ensure prompt, equitable and appropriate resolution of all commercial property claims.
Large loss commercial claim handling and oversight experience. Facilitate communication between claimants, clients and brokers for resolution of claims.
Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers.
Superior customer service skills. Ability to recognize matters of urgency and act promptly and efficiently to address them.
Participate in client meetings, status conferences, file reviews and fully comply with client instructions for all levels of communication and notification.
Be aware of insurance fraud and the internal and external requirements of notification/reporting of potential fraudulent.
Keep the client involved in decision making as required and comply with escalation process for advance notification of serious losses.
Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level claims.
Within prescribed settlement authority for line of business, establish appropriate reserves for indemnity and expense and review on a regular basis to ensure adequacy. Make recommendations to set reserves at an appropriate level for claims outside of authority level.
Manage the litigation process through the retention of counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment.
Capability to adjust large commercial property losses.
Assist in training of new employees; provide training and daily guidance to other examiners; some oversight of less experienced examiners and claims assistants.
May fill-in for supervisor if necessary.
Attend meetings and educational seminars for professional development and to maintain required licenses.
Coordinate and work with vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Participate and/or conduct department meetings.
Present company abilities in new client meetings.
Essential Position Requirements
High School Diploma or equivalent (GED) required for all positions.
AA/AS or BA/BS preferred but not required.
Minimum 8-10 years of complex/major property claims experience.
Must possess a license from your domiciled 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.
Experience with property and casualty insurance policies, insurance tort laws, codes, and procedures.
Knowledge of contractual/policy law and commercial property insurance policies; experience in reviewing Condo By-Laws and Condo Rules and Regulations.
Proficiency in investigation and resolution of moderate to major level property claims; understands principles of co-insurance and replacement cost evaluations.
Understanding of medical, legal terminology and liability concepts.
Time Management and project management skills.
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.
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 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; honesty and integrity are essential for all roles.
Must be able to reliably commute to meetings and events as required by this position.
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, including their rights, by clicking on the following link:
link .
Equal Employment Opportunity Statement 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. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you’ve dedicated. 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. For more information about our comprehensive benefits package, please visit
our careers page .
#J-18808-Ljbffr
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. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. 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 claims, with emphasis on commercial property and residential property, business interruption, and inland marine claims within assigned authority limits and consistent with policy and legal requirements.
Primary Responsibilities
Claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge
Functional knowledge of law and insurance regulations in various jurisdictions
Advanced verbal and written communication skills
Advanced analytical, decision making and negotiation skills
Within prescribed settlement authority, establish appropriate reserves for indemnity and expense, and conduct reviews on a regular basis to ensure reserve adequacy.
Fully evaluate losses, including expense budgeting and all available property limits (including sub-limits) to make recommendations and set proper reserves at appropriate levels for claims within and outside of client authority level.
Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management.
Manage all processes requiring estimating, assessment, valuation, and applicable depreciation, including interpretation and evaluation of applicable insurance contracts in the assessment process.
Possess familiarity with scoping, estimating and use of Xactimate and other valuation programs.
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 vendor services such as independent adjusting firms, contractors, consultants, forensic accountants, engineers, emergency repair, cleaning services and various replacement services to ensure prompt, equitable and appropriate resolution of all commercial property claims.
Large loss commercial claim handling and oversight experience. Facilitate communication between claimants, clients and brokers for resolution of claims.
Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers.
Superior customer service skills. Ability to recognize matters of urgency and act promptly and efficiently to address them.
Participate in client meetings, status conferences, file reviews and fully comply with client instructions for all levels of communication and notification.
Be aware of insurance fraud and the internal and external requirements of notification/reporting of potential fraudulent.
Keep the client involved in decision making as required and comply with escalation process for advance notification of serious losses.
Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level claims.
Within prescribed settlement authority for line of business, establish appropriate reserves for indemnity and expense and review on a regular basis to ensure adequacy. Make recommendations to set reserves at an appropriate level for claims outside of authority level.
Manage the litigation process through the retention of counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment.
Capability to adjust large commercial property losses.
Assist in training of new employees; provide training and daily guidance to other examiners; some oversight of less experienced examiners and claims assistants.
May fill-in for supervisor if necessary.
Attend meetings and educational seminars for professional development and to maintain required licenses.
Coordinate and work with vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Participate and/or conduct department meetings.
Present company abilities in new client meetings.
Essential Position Requirements
High School Diploma or equivalent (GED) required for all positions.
AA/AS or BA/BS preferred but not required.
Minimum 8-10 years of complex/major property claims experience.
Must possess a license from your domiciled 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.
Experience with property and casualty insurance policies, insurance tort laws, codes, and procedures.
Knowledge of contractual/policy law and commercial property insurance policies; experience in reviewing Condo By-Laws and Condo Rules and Regulations.
Proficiency in investigation and resolution of moderate to major level property claims; understands principles of co-insurance and replacement cost evaluations.
Understanding of medical, legal terminology and liability concepts.
Time Management and project management skills.
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.
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 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; honesty and integrity are essential for all roles.
Must be able to reliably commute to meetings and events as required by this position.
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, including their rights, by clicking on the following link:
link .
Equal Employment Opportunity Statement 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. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you’ve dedicated. 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. For more information about our comprehensive benefits package, please visit
our careers page .
#J-18808-Ljbffr