Senior Claims Specialist, PL Claims

Markel Corporation; Hamilton; On-site; CAD 90,000 - 130,000; Full time

Job summary

Markel Corporation is seeking an experienced claims professional to manage moderate to high complexity claims and exposures. You will review policies, coordinate with experts and outside counsel, and drive cost-effective resolutions while maintaining service standards.

The role requires 5+ years of claims experience, strong communication and negotiation skills, and the ability to guide strategy with internal stakeholders.

Qualifications

• Minimum of 5 years of claims handling or general insurance experience.
• Excellent written and oral communication and strong analytical skills.
• Experience negotiating, mediations, arbitrations and monitoring trials on high-value complex claims.
• Ability to influence stakeholders and direct claims strategy.
• Vendor management to coordinate defense attorneys and experts while controlling costs.
• Technical training ability for team claim handlers as required.
• Policy language interpretation and continuous file handling improvement.

Responsibilities

• Confirms coverage of claims by reviewing policies and documents.
• Directs assignments to experts and outside counsel with effective vendor and litigation management.
• Analyzes coverage and communicates positions.
• Prepares coverage position letters on matters typically in litigation.
• Obtains, reviews, and analyzes documentation and records for claims handling and settlement.
• Conducts investigations into loss facts and damages.
• Provides timely service and meets service level agreements throughout the claim life cycle.
• Evaluates information to determine insured exposure and reserves within authority.
• Negotiates and settles claims in litigation where appropriate.
• Prepares reports by collecting and summarizing information.
• Participates in roundtables with senior claims leaders and underwriters.
• Travels to mediations, trials, and conferences as required.
• Contributes to claims guidelines and training.

Skills

Excellent written and oral comms

Analytical thinking

Organization & time management

Negotiation & mediation

Vendor management

Technical training delivery

Technical claims expertise

Policy language interpretation

Customer service

MS Office skills

Team collaboration

Continuous improvement

Education

Bachelor's degree or equiv. work exp.

JD or advanced degree a plus

Tools

Microsoft Office

Job description

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation.

Responsibilities

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims
• Directs and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savings
• Analyzes coverage and communicates coverage positions
• Prepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.
• Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Negotiates and settles claims typically in litigation either directly or indirectly
• Prepares reports by collecting and summarizing information
• Present at roundtables to senior claims leaders and underwriters on cases going to trial
• Participates in special projects or assists other team members as requested
• Travel to mediations, trials, and conferences as required
• Coordinates loss information for business stakeholders and presents information during meetings with underwriters and/or insureds when applicable
• Contributes to maintenance of claims guidelines and best practice procedures
• Delivers technical training to colleagues and external contacts as appropriate

Education

Bachelor’s degree or equivalent work experience JD, advanced degree, or focused technical degree a plus

Work Experience

• Minimum of 5 years of claims handling experience or general insurance experience

Skill Sets

• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims
• Ability to influence claims stakeholders and to effectively direct claims strategy
• Strong vendor management skills are required including the ability to provide direction and guidance to defense attorneys, independent adjusters, building consultants, forensic accountants and other experts while controlling expenses.
• Ability to assist with technical training to team claim handlers as required
• Well developed and advanced expertise and knowledge in most technically complex claims topics
• Policy language skills enabling accurate and consistent policy wording interpretation
• Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
• 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 #LI-SY