Claims Examiner

Markel; Chicago (IL); On-site; USD 64,000 - 107,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) with employer match

Employee Stock Purchase Plan

Paid time off

Job summary

Markel is seeking a Claims Examiner to resolve average-complexity healthcare claims, evaluating contracts and coverage and negotiating settlements. The role requires attention to detail, strong communication, and the ability to work across teams in a professional liability context.

You will manage a high-volume caseload, coordinate with defense counsel nationwide, and ensure adherence to internal reporting standards while aiding in broader liability initiatives.

Qualifications

• College degree or equivalent professional experience.
• Excellent written and oral communication skills.
• Ability to analyze and convey complex issues clearly.
• Experience in determining contractual obligations, insurance coverage analyses and investigations.
• Ability to manage litigation, set reserves and evaluate settlements.
• Team player willing to assist within the Unit and Division; self-manage a high-volume caseload.

Responsibilities

• Investigate, negotiate and settle primary and excess healthcare claims.
• Analyze coverage, draft determinations, and communicate positions to stakeholders.
• Manage nationwide litigation, direct defense counsel, and support related vendor processes.
• Communicate developments with underwriting and Claims Manager.
• Summarize claim issues and propose action plans, orally and in writing.
• Adhere to Markel guidelines and internal reporting requirements.
• Contribute to initiatives led by the Claims Manager.
• Participate in agent-related meetings as required.

Skills

Communication skills

Analytical thinking

Litigation management

Team collaboration

Caseload management

Travel readiness

Education

College degree

Tools

Insurance knowledge

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.

Responsibilities

• Investigate, negotiate and settle primary and excess policy healthcare claims.
• Investigate and analyze coverage under primary and excess healthcare professional liability insurance policies; make coverage determinations; draft coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders.
• 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 Claims Manager on adverse case developments and provide information on pertinent issues affecting the healthcare professional liability product line.
• Proven ability to work in a collaborative team environment. Analyze and convey summations of claim 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 the Claims Manager.
• Participate in agent related functions and meetings as required.

Requirements

• College degree, professional designation and/or related job experience required.
• Excellent written and oral communication skills.
• 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 litigation, set loss and expense reserves and evaluate settlement values.
• Work collaboratively and as a team player willing to assist within the Unit and Professional Liability Division as needed.
• Ability to proactively self-manage a high volume caseload.
• Travel required as necessary (approximately 10%).

US Work Authorization

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

Pay Information

The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary range for the Claims Examiner is $64,400 - $107,300 with a 12% incentive.

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

In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.

• 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.

Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.

Should you require any accommodation through the application process, please send an e-mail to the [e-mail].

No agencies please.