Claim Examiner

Markel; Plano (TX); Ibrido; USD 62.000 - 107.000; Tempo pieno

Vantaggi offerti da questo lavoro

Hybrid schedule

Health benefits

Professional development

401(k)

Descrizione del lavoro

Markel in Plano, TX seeks an experienced claims professional to manage a moderate- complexity caseload including environmental, products liability, and life sciences claims. You will investigate, analyze policy language, reserve, and coordinate settlements under delegated authority.

You will work with defense counsel and experts, prepare claim summaries, and communicate status to insureds and stakeholders. A Bachelor's degree and 2–4 years’ casualty claims work are preferred.

Competenze

• Bachelor's degree or equivalent combination of education and claims experience.
• 2-4 years of casualty claims handling experience; experience with environmental, products liability, life sciences, professional liability, bodily injury, or property damage claims is preferred.
• Working knowledge of claim investigation, coverage analysis, liability assessment, reserve evaluation, litigation management, and settlement practices.
• Ability to interpret commercial insurance policies and identify issues requiring escalation or additional guidance.
• Experience working with defense counsel and managing litigated claims is preferred.
• Strong written and verbal communication skills, with the ability to present claim issues clearly and concisely.
• Ability to manage competing priorities, meet deadlines, and maintain accurate claim documentation.
• Ability to exercise independent judgment within assigned authority and seek guidance when warranted.
• Professional designation such as AIC, CPCU, SCLA, or equivalent is a plus.]
• Proficiency with claims management systems and Microsoft Office applications.

Mansioni

• Manage an assigned caseload of environmental, products liability, life sciences, professional liability, and general liability claims of moderate complexity.
• Conduct timely claim investigations, including review of pleadings, contracts, medical records, expert materials, and other relevant documentation.
• Analyze policy language and identify coverage issues, escalating complex matters.
• Evaluate liability, damages, and exposure and maintain reserves within authority.
• Develop and execute claim handling plans and document developments.
• Direct and monitor defense counsel, consultants, and experts per guidelines.
• Review litigation strategy, budgets, and legal bills; address cost concerns.
• Negotiate settlements within authority and seek approvals for higher authority when needed.
• Participate in mediations, settlement conferences, and other claim meetings.
• Communicate with insureds, brokers, counsel, claimants, and internal stakeholders on status and strategy.
• Prepare concise claim summaries and updates for management and underwriting.
• Escalate significant coverage, regulatory, or reputational issues promptly.
• Maintain compliance with regulatory requirements and company practices.

Conoscenze

Casualty claims

Environmental claims

Policy interpretation

Negotiation

Litigation management

Communication

Claims systems

Microsoft Office

Formazione

Bachelor's degree

Strumenti

MS Office

Claims systems

Litigation support

Descrizione del lavoro

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 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.

Key Responsibilities

• Manage an assigned caseload of environmental, products liability, life sciences, professional liability, and general liability claims of moderate complexity.
• Conduct timely claim investigations, including review of pleadings, contracts, medical records, expert materials, and other relevant documentation.
• Analyze policy language and identify coverage issues, escalating complex matters and preparing reservation of rights or other coverage correspondence with appropriate guidance.
• Evaluate liability, damages, and exposure and establish and maintain appropriate claim reserves within assigned authority.
• Develop and execute claim handling plans, document material developments, and maintain accurate and timely claim files.
• Select, direct, and monitor defense counsel, consultants, and experts in accordance with litigation management guidelines.
• Review litigation strategy, budgets, legal bills, and case evaluations and address performance or cost concerns as appropriate.
• Negotiate settlements within granted authority and prepare clear recommendations when additional authority is required.
• Participate in mediations, settlement conferences, and other claim-related meetings as needed.
• Communicate effectively with insureds, brokers, counsel, claimants, and internal stakeholders regarding claim status and strategy.
• Prepare concise claim summaries, reports, and updates for management and underwriting.
• Identify and promptly escalation significant coverage, severity, legal, regulatory, or reputational issues.
• Maintain compliance with applicable regulatory requirements, service standards, and company claim handling practices.

Qualifications

• Bachelor's degree or equivalent combination of education and relevant claims experience required.
• 2-4 years of casualty claims handling experience;">2-4 years of casualty claims handling experience;">2-4 years of casualty claims handling experience; experience with environmental, products liability, life sciences, professional liability, bodily injury, or property damage claims is preferred.
• Working knowledge of claim investigation, coverage analysis, liability assessment, reserve evaluation, litigation management, and settlement practices.
• ;">Working knowledge of claim investigation, coverage analysis, liability assessment, reserve evaluation, litigation management, and settlement practices.;
• Ability to interpret commercial insurance policies and identify issues requiring escalation or additional guidance.
• ;">Ability to interpret commercial insurance policies and identify issues requiring escalation or additional guidance.;
• Experience working with defense counsel and managing litigated claims is preferred.
• ;">Experience working with defense counsel and managing litigated claims is preferred.;
• Sound analytical, organizational, negotiation, and decision-making skills.
• ;">Sound analytical, organizational, negotiation, and decision-making skills.;
• Strong written and verbal communication skills, with the ability to present claim issues clearly and concisely.
• ;">Strong written and verbal communication skills, with the ability to present claim issues clearly and concisely.;
• Ability to manage competing priorities, meet deadlines, and maintain accurate claim documentation.
• ;">Ability to manage competing priorities, meet deadlines, and maintain accurate claim documentation.;
• Ability to exercise independent judgment within assigned authority and seek guidance when warranted.
• ;">Ability to exercise independent judgment within assigned authority and seek guidance when warranted.;
• Professional designation such as AIC, CPCU, SCLA, or equivalent is a plus.
• ;">Professional designation such as AIC, CPCU, SCLA, or equivalent is a plus.;
• Ability to work effectively in a collaborative, team-oriented environment.
• ;">Ability to work effectively in a collaborative, team-oriented environment.;
• Proficiency with claims management systems and Microsoft Office applications.
• ;">Proficiency with claims management systems and Microsoft Office applications.;

What We Offer

• Opportunity to build technical expertise across a diverse portfolio of specialty claims.
• Collaborative culture with access to experienced claims, underwriting, and business leaders.
• Competitive compensation and benefits package.
• Professional development, training, and career advancement opportunities.
• Flexible hybrid work environment with a three-days-in-office and two-days-remote schedule.
• A culture that values ownership, innovation, collaboration, and continuous learning.

US Work Authorization

US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.

Pay information

The salary range for this position is $62,400 - $107,250. The posted salary range reflects the lowest and highest base salary applicable to this role across our U.S. locations. Individual offers are determined based based on geographic location, experience, qualifications, internal equity, and other job-related factors. As a result, the salary offered for a specific location will fall within a narrower range than the overall range displayed in this posting. This position may also be eligible to participate in the Company's annual incentive plan.

Who we are

Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

We’re all about people | We win together | We strive for better

We enjoy the everyday | We think further

What’s in it for you

• We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees’ needs at all stages of life.
• All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
• We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.