Claims Examiner

Markel•Henderson, NV

1d•$58,500 - $121,900•Onsite

About The Position

This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The position will have responsibility for decision making within their authority and work under the general direction from their manager.

Requirements

2+ years of claims handling or relevant work experience.
California Claims Examiner Certification.
Excellent written and verbal communication skills.
Strong analytical, problem-solving, organizational, and time management skills.
Ability to deliver outstanding customer service and work effectively in a team environment.
Intermediate proficiency in Microsoft Office applications, including Excel, Outlook, and Word.
Demonstrated commitment to continuous improvement and professional development.
Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions.
Strong negotiation and decision-making skills.
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.

Nice To Haves

Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may be substituted.
Strong understanding of medical terminology preferred.

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