Claims Examiner III, Workers Compensation

Markel • Omaha, NE

1d

About The Position

This position will be responsible for the resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under general direction from their manager.

Requirements

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

Nice To Haves

• A degree in business related courses optional in exchange for experience in insurance.
• An insurance designation is a plus.
• Strong knowledge and understanding of medical terminology is a plus.

Responsibilities

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims
• Analyzes coverage and communicates coverage positions
• 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, compensability, and medical management to determine the extent of insured's exposure
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Focus on driving claims to a resolution with a focus of returning the injured back to work
• Evaluate, Negotiate and settle claim when appropriate
• Prepares reports by collecting and summarizing information
• Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives
• Participates in special projects or assists other team members as requested
• Attend all state specific trainings as scheduled
• Travel to mediations, trials, and conferences as required

Benefits

• Competitive benefit programs
• Multiple health insurance plan options
• Dental insurance
• Vision insurance
• Optional life insurance
• Disability insurance
• AD&D insurance
• 401(k) with employer match contributions
• Employee Stock Purchase Plan
• PTO
• Corporate holidays
• Floating holidays
• Parental leave

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree