Claims Examiner Jobs

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Executive Claims Examiner

MarkelSummit, NJ
$97,520 - $134,090Hybrid

About The Position

This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority with minimal oversight. The position will also provide training and be a technical referral point for other team members.

Requirements

  • minimum 4+ years of professional liability claims or litigation experience required.
  • Excellent written and oral communication skills.
  • Sound comprehension of insurance coverage posed by professional liability and excess liability policies.
  • Ability to analyze and convey summations of complex issues both verbally and in writing; recognize alternative approaches and develop action plans.
  • Experience in determining contractual obligations, insurance coverage analyses, and investigations.
  • Ability to manage complex litigation, set loss and expense reserves and evaluate settlement values.
  • Work collaboratively and as team player willing to assist within the Unit and Professional Liability Division as needed.
  • Ability to proactively self-manage a caseload.
  • Travel required as necessary (approximately 5-10%).
  • US Work Authorization required.
  • Markel does not provide visa sponsorship for this position, now or in the future.

Nice To Haves

  • Excess liability (quota share, first layer and high layer) claims or litigation experience a plus.
  • JD preferred.
  • Insurance coverage litigation experience a plus.

Responsibilities

  • Investigate, negotiate and settle complex primary and excess policy claims including legal malpractice, architects and engineers, financial advisors and miscellaneous professional liability.
  • Investigate and analyze coverage under primary and excess professional liability insurance policies; make coverage determinations; draft routine and complex coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders; manage claims involving coverage litigation.
  • Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
  • Communicate with underwriting as needed to manage claims and to alert of any significant developments.
  • Promptly communicate with management on adverse case developments and provide information on pertinent issues affecting professional liability product lines.
  • Analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form.
  • Maintain and adhere to Markel’s guidelines and procedures.
  • Ensure proper adherence to internal reporting requirements.
  • Contribute and assist in the implementation of a wide range of initiatives, discussion and action plans brought forth by management.
  • Participate in agent related functions and meetings as required.
  • Actively participate in the ongoing training and development of the claims examiners.

Benefits

  • competitive benefit programs
  • multiple health, dental and vision insurance plan options
  • optional life, disability, and AD&D insurance
  • 401(k) with employer match contributions
  • Employee Stock Purchase Plan
  • PTO
  • corporate holidays
  • floating holidays
  • parental leave

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