Claims Examiner

About the role

This position is responsible for the resolution of claims of average complexity and low to mid exposure. 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.

Responsibilities

• Typically handles low to moderate low exposure claims.
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Analyzes coverage and communicates coverage positions.
• Drafts coverage position letters independently.
• Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.
• Conducts, coordinates, and directs investigation into loss facts and extent of damages.
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.
• Sets reserves within authority or makes recommendations concerning reserve changes to manager.
• Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim.
• Negotiates and settles claims directly with claimant.
• Prepares reports by collecting and summarizing information.
• Participates in special projects or assists other team members as requested.
• Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
• Identifies subrogation opportunities and fraud potential and makes appropriate referrals.
• Strong emphasis on customer service to both internal and external customers.

Requirements

• Bachelor’s degree or equivalent work experience.
• Advanced degree, or focused technical degree a plus.
• Must have or be eligible to receive claims adjuster license.
• Successful completion of basic insurance courses or achievement of industry designation (INS, IEA, AIC, ARM, SCLA, CPCU).
• Minimum of two years of claims handling experience or equivalent combination of education and experience.
• Knowledge of insurance industry or claims handling preferred, or successful completion of two years as an Associate Claims Specialist preferred.

Qualifications

• Excellent written and oral communication skills.
• Strong analytical and problem-solving skills.
• Strong organization and time management skills.
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word).
• Ability to work in a team environment.
• Strong desire for continuous improvement.
• Ability to travel to industry conferences or meetings, if required.
• US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.

Pay

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 position is $62,000 - $85,800 with 12% incentive.

Benefits

We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees’ needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, and parental leave.

About Us

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.