Claims Examiner

If you’re looking for a place where you can make a meaningful difference, you’ll find it at Markel. The work we do 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. Join us and play your part in something special.

About the role

This position is responsible for the resolution of claims of average complexity and low to mid exposure. The primary purpose is to investigate, evaluate, negotiate, and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The position involves decision-making within defined authority and operates under the general direction of a manager.

Responsibilities

• 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 with defense counsel, bill payment, and legal collections issues.
• Communicate with underwriting as needed to manage claims and alert them of any significant developments.
• Promptly communicate with the Claims Manager on adverse case developments and provide information on pertinent issues affecting the healthcare professional liability product line.
• 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 initiatives, discussions, and action plans brought forth by the Claims Manager.
• Participate in agent-related functions and meetings as required.

Requirements

• 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 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, 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.

Benefits

• Multiple health, dental, and vision insurance plan options.
• Optional life, disability, and AD&D insurance.
• 401(k) with employer match contributions.
• Employee Stock Purchase Plan.
• Paid time off (PTO), corporate holidays, and floating holidays.
• Parental leave.