Senior Claims Examiner, Construction
Markel · Red Bank, NJ · 3 mo ago
Hybrid$78k–$107k/yrFull-time
About the role
The position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Responsibilities
- Confirms coverage of claims by reviewing policies and documents submitted in support of claims
- Analyzes coverage and communicates coverage positions
- Prepares coverage position letters on matters (without assistance of outside coverage counsel) and refers suspicious losses to SIU and assist in the investigation and settling of claim
- Conducts, coordinates, and directs investigation into loss facts and extent of damages
- Directs and monitors assignments to experts and outside counsel
- Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
- Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
- Negotiates and settles claims typically in litigation within authority
- Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial
- Participates in special projects having an impact on the business. May be assigned project lead for larger projects
- Represents Markel at mediations, trials, and conferences
- Pulls and analyzes loss information for business stakeholders and presents information during meetings with underwriters and/or insureds
- Serves as a technical resource to underwriting and assists with drafting policy wording
- Provides input into maintenance of claims guidelines and best practice procedures
Requirements
- Bachelor’s degree or equivalent work experience
- JD, advanced degree, or focused technical degree a plus
- Certification: Must have or be eligible to receive claims adjuster license. Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)
Skills
- Excellent written and oral communication skills
- Strong analytical and problem solving skills
- Strong organization and time management skills
- Ability to work autonomously in a fast paced environment
- Experience in negotiation, mediations and monitoring trials
- Ability to influence claims stakeholders and to effectively direct claims strategy
- Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses
- Ability to deliver outstanding customer service
- Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
- Knowledge of tort and contract law
Benefits
- Competitive benefit programs
- Health, dental and vision insurance plans
- Optional life, disability, and AD&D insurance
- 401(k) with employer match contributions
- Employee Stock Purchase Plan
- PTO, corporate holidays and floating holidays, parental leave