Senior Claims Examiner

Markel•Alpharetta, GA

10d•$78,000 - $134,090

About The Position

The Senior Claims Examiner handles moderate- to high-complexity and moderate- to high-exposure claims from coverage inquiry through liability assessment, where relevant, damages analysis, and timely, accurate resolution. The role aims to mitigate indemnity and expense exposure while communicating developments and outcomes to internal and external stakeholders. The examiner has increased decision-making responsibility within their authority, works with minimal oversight, and serves as a technical referral point and trainer for other team members. The position may be performed in a hybrid arrangement (three days in the office and two remote) or fully remotely; the employee’s location distance determines the schedule. Travel to mediations, trials, and conferences is required as needed.

Requirements

At least 5 years of claims-handling experience, or an equivalent combination of education and experience.
Successful completion of 3 years as a Claims Examiner.
Bachelor’s degree or equivalent work experience.
Must have or be eligible to receive a claims adjuster license.
Excellent written and oral communication skills.
Strong analytical and problem-solving skills.
Strong organizational and time-management skills.
Ability to deliver outstanding customer service.
Intermediate skills with Microsoft Office products, including Excel, Outlook, PowerPoint, and 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

Successful achievement of industry designations such as INS, IEA, AIC, ARM, SCLA, or CPCU.
Participation in industry training opportunities such as CLM Claim College, Munich Re Training, or FDCC.

Responsibilities

Analyze coverage and communicate coverage positions.
Conduct, coordinate, and direct investigations into loss facts and the extent of damages.
Confirm claim coverage by reviewing policies and supporting documents.
Contribute to maintaining claims guidelines and best-practice procedures.
Coordinate loss information for business stakeholders and present information at meetings with underwriters and/or insureds when applicable.
Deliver technical training to colleagues and external contacts as appropriate.
Direct and monitor assignments to experts and outside counsel, and manage vendors and litigation effectively on moderate- to high-complexity claims, including achieving demonstrable savings.
Evaluate coverage, liability, and damages information to determine the insured’s exposure.
Negotiate and settle claims, typically those in litigation, directly or indirectly.
Participate in special projects or assist other team members as requested.
Prepare coverage position letters on matters typically in litigation without assistance from outside coverage counsel.
Prepare reports by collecting and summarizing information.
Present cases going to trial at roundtables with senior claims leaders and underwriters.
Provide timely service throughout the claim lifecycle by meeting service-level agreements, initiating timely contact with appropriate parties, and responding to inquiries according to company policies and procedures.
Set reserves within authority or recommend reserve changes to a manager.
Travel to mediations, trials, and conferences as required.
Use appropriate investigation, claims-handling, and settlement techniques to achieve cost-effective and timely closure by obtaining, reviewing, and analyzing documentation, policy provisions, and other records.