Claims Examiner

Markel•Richmond, NJ

About The Position

The Claims Examiner resolves claims of average complexity and low-to-mid exposure. The role investigates, evaluates, negotiates, and resolves assigned claims, making decisions within delegated authority under the general direction of a manager. The examiner collaborates with internal stakeholders and departments, supports customer relationships, participates in training and development, and may travel to other claim offices and conferences as needed. A high school diploma is required; a bachelor's degree is preferred. The candidate must have or be eligible to receive a claims adjuster license. US work authorization is required, and Markel does not provide visa sponsorship for this position. The salary range is $62,400–$107,250, with individual offers dependent on factors including location, experience, and qualifications. The position may also be eligible for the Company's annual incentive plan.

Requirements

  • High school diploma.
  • Must have or be eligible to receive a claims adjuster license.
  • Excellent customer service skills.
  • Excellent written and oral communication skills.
  • Excellent analytical and problem-solving skills.
  • Excellent organization and time-management skills.
  • Ability to deliver outstanding customer service to internal and external customers.
  • Ability to work collaboratively and in a team environment.
  • Ability to work autonomously with minimal direction or oversight.
  • Ability to take initiative and think strategically and creatively.
  • Strong desire for continuous improvement.
  • Intermediate skills in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word.
  • US work authorization is required; visa sponsorship is not provided.

Nice To Haves

  • Bachelor's degree.
  • Understanding of the insurance claims and legal services landscape.
  • Claims technical skills and understanding of product lines.
  • Understanding of insurance policy types across product lines.

Responsibilities

  • Analyze claims and determine appropriate direction for coverage, investigation, evaluation, and resolution.
  • Recommend reserve changes to Management.
  • Identify potential claim exposures and prepare appropriate alerts to Management and internal business partners.
  • Follow Fair Claims Practices Regulations and claims handling guidelines.
  • Prepare and distribute claim reports.
  • Participate in training, development programs, and learning opportunities across Claims.
  • Build relationships with internal stakeholders, including Underwriting.
  • Support strong customer relationships by providing high-quality service.
  • Support assigned special projects and learn cross-functional collaboration within Claims.
  • Learn negotiation strategies and claim resolution practices by mentoring with senior examiners and managers.
  • Collaborate with Claims Vendor Management, Finance, Actuarial, Risk Management, and IT.
  • Travel to other claim offices and conferences as needed.

Benefits

  • Multiple health insurance plan options for full-time employees.
  • Multiple dental insurance plan options for full-time employees.
  • Multiple vision insurance plan options for full-time employees.
  • 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.
  • May be eligible to participate in the Company's annual incentive plan.
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