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Role Description

Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support our workers compensation department. Employees who live less than 26 miles from the San Antonio, TX office are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday. The remaining days can be worked remotely if technical requirements are met, and the employee resides in Texas. 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-Friday at 37.5 hours a week with the option of a flex schedule.

• Adjust workers’ compensation claims from inception through settlement and closure
• Ensure timely processing of claims and payment of benefits
• Manage and direct medical treatment
• Set reserves and negotiate settlements

Qualifications

• High School Diploma or equivalent (GED) required for all positions
• AA/AS or BA/BS preferred but not required
• The Texas 03 Workers’ Compensation license is required
• The 08 All Lines License is preferred
• 3+ years recent workers compensation claims handling experience required
• At least 5 years of workers compensation claims experience preferred
• Solid knowledge of workers compensation laws, policies, and procedures
• Completion of IEA or equivalent courses
• Proficiency in determining case value and negotiating settlements
• Understanding of medical and legal terminology
• Mathematical calculating 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
• 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
• Acts with integrity in difficult or challenging situations

Requirements

• Must be able to reliably commute to meetings and events as required by this position

Benefits

• Comprehensive health insurance
• 401(k) with company match
• Eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments
• Variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options
• Company-Paid STD & LTD