Claim Examiner

markelcorp; Red Bank (NJ); On-site; USD 65,000 - 95,000; Full time

Job summary

Markel is seeking a claims professional to resolve average complexity and low to mid exposure claims. The role involves investigating, evaluating, negotiating, and settling assigned claims by collecting and analyzing data according to policy provisions, with decision-making authority within established limits.

You will manage a diverse caseload including environmental, products liability, life sciences, professional liability, and general liability claims, coordinate with defense counsel, and

Qualifications

• Bachelor's degree or equivalent combination of education and relevant claims experience required.
• 2-4 years of casualty claims handling experience.
• Experience with environmental, products liability, life sciences, professional liability, bodily injury or property damage claims preferred.
• Ability to interpret commercial insurance policies and identify issues requiring escalation or additional guidance.
• Strong analytical, organizational, negotiation, and decision-making skills.
• Excellent written and verbal communication skills.

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 escalate significant coverage, severity, legal, regulatory, or reputational issues.
• Maintain compliance with applicable regulatory requirements, service standards, and company claim handling practices.

Skills

Analytical skills

Negotiation

Decision making

Written communication

Verbal communication

Claims handling

Policy interpretation

Education

Bachelor's degree

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 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 **escalate** 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;
• 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.
• Sound analytical, organizational, negotiation, and decision-making skills.
• 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 j