Claims Examiner

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.

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This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The position will have responsibility for decision making within their authority and work under the general direction from their manager.

Investigate, negotiate and settle primary and excess policy healthcare claims. Investigate and analyze coverage under primary and excess healthcare professional liability insurance policies; make coverage determinations; draft coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues. Communicate with underwriting as needed to manage claims and to alert of any significant developments. Promptly communicate with Claims Manager on adverse case developments and provide information on pertinent issues affecting the healthcare professional liability product line. Proven ability to work in a collaborative team environment. Analyze and convey summations of claim issues; recognize alternative approaches and develop action plans, both orally and in written form. Maintain and adhere to Markel’s guidelines and procedures. Ensure proper adherence to internal reporting requirements. Contribute and assist in the implementation of a wide range of initiatives, discussion and action plans brought forth by the Claims Manager. Participate in agent related functions and meetings as required.

College degree, professional designation and/or related job experience required. Excellent written and oral communication skills. Ability to analyze and convey summations of complex issues both verbally and in writing; recognize alternative approaches and develop action plans Experience in determining contractual obligations, insurance coverage analyses, and investigations. Ability to manage litigation, set loss and expense reserves and evaluate settlement values. Work collaboratively and as a team player willing to assist within the Unit and Professional Liability Division as needed. Ability to proactively self-manage a high volume caseload. Travel required as necessary (approximately 10%). US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary range for the Claims Examiner is $64,400 - $107,300 with a 12% incentive.

Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.     We’re all about people | We win together | We strive for better     We enjoy the everyday | We think further     What’s in it for