Senior Claims Examiner, Programs

About the role

This position is 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. The position will have increased responsibility for decision making within their authority, work with minimal oversight, and serve as a training and technical referral point for other team members.

Responsibilities

• Investigate, negotiate and settle complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and sexual assault.
• Investigate and analyze coverage under primary and excess casualty insurance policies; make coverage determinations; draft routine coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders; manage claims involving coverage litigation.
• Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including 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 management on adverse case developments and provide information on pertinent issues affecting professional liability product lines.
• Analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form.
• Maintain and adhere to internal 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 management.
• Participate in agent-related functions and meetings as required.
• Actively participate in the ongoing training and development of the claims examiners.

Requirements

• Minimum 6+ years of casualty claims or litigation experience required.
• Experience managing, overseeing, and partnering with third-party administrators, managing general agents, and/or managing general underwriters is a plus.
• College degree required and professional designations preferred.
• Excellent written and oral communication skills.
• Sound comprehension of insurance coverage posed by casualty liability and excess liability policies.
• 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. Insurance coverage litigation experience a plus.
• Ability to manage complex litigation, set loss and expense reserves and evaluate settlement values.
• Work collaboratively and as a team player willing to assist within the Unit and Casualty Division as needed.
• Ability to proactively and independently manage a caseload.
• Travel required as necessary (approximately 10-20%).
• 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 Senior Claims Examiner is $78,000 - $107,250 with 15% 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.