Claim Examiner II - Program Claims

Markel; United States; Remote; USD 62,000 - 107,000; Full time

Job summary

Markel is seeking a claims professional to resolve moderate complexity Workers' Compensation claims across jurisdictions. You will investigate, negotiate, settle and analyze coverage, while collaborating with underwriters and defense counsel.

The role requires 4+ years of insurance experience, strong communication skills, and the ability to manage complex litigation with travel 10–20%. This is a remote position with hybrid work options.

Qualifications

• Minimum 4+ years of insurance experience.
• Experience managing relationships with third-party administrators, MGAs, and/or MGUs is a plus.
• Diploma and professional designations preferred.
• Excellent written and oral communication skills.
• Sound understanding of casualty liability and excess liability insurance coverage.
• Ability to analyze and convey complex issues and develop action plans.
• Experience in determining contractual obligations, insurance coverage analyses, and investigations; litigation experience a plus.
• Ability to manage complex litigation and set loss and expense reserves.
• Work collaboratively and as a team player within the Unit and Casualty Division.
• Travel required approximately 10–20%.

Responsibilities

• Investigate, negotiate and settle non-complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and sexual assault.
• Investigate and analyze coverage under primary and excess casualty insurance policies; make coverage determinations; draft routine coverage correspondence; communicate coverage positions to policyholders and other stakeholders.
• Manage litigation nationwide against insureds; appoint and direct defense counsel; work toward expeditious resolution; assist in vendor management, disbursement and legal collections.
• Communicate with underwriting as needed to manage claims and alert of developments.
• Provide management with updates on adverse case developments and relevant issues affecting professional liability.
• Demonstrate collaboration in a team environment.
• Analyze and summarize complex issues and develop action plans orally and in writing.
• Maintain adherence to internal guidelines and reporting requirements.
• Support and contribute to initiatives and action plans by management.
• Participate in agent-related functions and meetings as required.
• Engage in ongoing claims examiner training and development.

Skills

Insurance claim handling

Communication skills

Team collaboration

Analytical thinking

Education

Diploma

Professional designations

Job description

Remote

Join us and play your part in something special! This position will be responsible for the resolution of moderate complexity and moderate exposure Workers Compensation claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under general direction from their manager.

Responsibilities:

• Investigate, negotiate and settle non-complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and sexual assault.
• Investigate and analyze coverage under primary and excess casualty insurance policies; make coverage determinations; draft routine 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 internal business partners, including 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.
• Proven ability to work in a collaborative team environment.
• Analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form.
• Maintain and adhere to internal 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.

Requirements:

• Minimum 4+ years of insurance experience required.
• Experience managing, overseeing, and partnering with third-party administrators, managing general agents, and/or managing general underwriters is a plus.
• Diploma and professional designations preferred.
• Excellent written and oral communication skills.
• Sound comprehension of insurance coverage posed by casualty 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. Insurance coverage litigation experience a plus.
• 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 Casualty Division as needed.
• Ability to proactively and independently manage a caseload.
• Travel required as necessary (approximately 10-20%).

US Work Authorization

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

#LI-Hybrid

#LI-SY

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 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.