Claims Examiner II

Markel•Alpharetta, GA

25d•$62,400 - $107,250

About The Position

The Claims Examiner II resolves moderate-complexity, moderate-exposure Workers Compensation claims across multiple jurisdictions. The role carries increased decision-making responsibility within the examiner’s authority and works under general direction from a manager. The examiner handles claims, evaluates coverage, liability, and damages, and provides professional customer service while maintaining a high level of production.

Requirements

Bachelor’s degree or equivalent work experience.
Adjusters’ license or legal license in at least one jurisdiction.
Minimum 5 years of claims handling or equivalent work experience.
Excellent written and oral communication skills.
Strong analytical and problem-solving skills.
Strong organizational and time-management skills.
Intermediate skills in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word.
Ability to work in a team environment.
Strong desire for continuous improvement.
US work authorization; visa sponsorship is not provided now or in the future.

Responsibilities

Handle claims in all jurisdictions.
Handle litigated and non-litigated property damage claims valued up to $250,000.
Handle non-litigated bodily injury claims valued up to $250,000 in all jurisdictions.
Confirm claim coverage by reviewing policies and supporting documents.
Analyze coverage and communicate coverage positions.
Draft coverage position letters.
Identify losses that should be reported to SIU.
Conduct, coordinate, and direct investigations into loss facts and the extent of damages.
Evaluate coverage, liability, and damages information to determine the insured’s exposure.
Set reserves within authority or recommend reserve changes to the manager.
Participate in special projects or assist other team members as requested.
Represent Markel in mediations as required.
Provide excellent, professional customer service to insureds while maintaining a high level of production.