Claims Examiner

Markel; Omaha (NE); Vor Ort; USD 62.000 - 107.000; Vollzeit

Benefits dieser Stelle

Health, dental and vision insurance

401(k) with employer match

PTO and holidays

Employee Stock Purchase Plan

Parental leave

Zusammenfassung

Markel Group seeks a Claims Specialist to resolve average complexity and low to mid exposure claims. The role will investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy provisions, and decisions will be made within the assigned authority under the guidance of a manager.

Candidates should have a bachelor’s degree or equivalent, a valid claims license, and two years of claims handling experience.

Qualifikationen

• Bachelor’s degree or equivalent work experience.
• Advanced degree, or focused technical degree a plus.
• Must have or be eligible to receive claims adjuster license.
• Completion of basic insurance courses or industry designation (INS, IEA, AIC, ARM, SCLA, CPCU).

Aufgaben

• Typically handles low to moderate exposure claims.
• Confirms coverage by reviewing policies and communicates positions.
• Drafts coverage position letters independently.
• Investigates, negotiates and settles claims within authority.
• Evaluates information on coverage, liability, and damages.
• Sets reserves within authority or makes recommendations to manager.
• Prepares reports by collecting and summarizing information.
• Provides timely service and meets SLA requirements.
• Identifies subrogation opportunities and fraud potential.

Kenntnisse

Communication

Analytical skills

Time management

MS Office

Teamwork

Continuous improvement

Ausbildung

Bachelor's degree or equivalent

Advanced degree a plus

Claims adjuster license or eligibility

Insurance designations / courses

Tools

Claims handling systems

Jobbeschreibung

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.

Job Responsibilities

• Typically handles low to moderate low exposure claims.
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Analyzes coverage and communicates coverage positions.
• Drafts coverage position letters independently
• 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
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Sets reserves within authority or makes recommendations concerning reserve changes to manager
• Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim.
• Negotiates and settles claims directly with claimant
• Prepares reports by collecting and summarizing information
• Participates in special projects or assists other team members as requested
• 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.
• Identifies subrogation opportunities and fraud potential and makes appropriate referrals
• Strong emphasis on customer service to both internal and external customers

Education and Certification

• Bachelor’s degree or equivalent work experience
• Advanced degree, or focused technical degree a plus
• Must have or be eligible to receive claims adjuster license
• Successful completion of basic insurance courses or achievement of industry designation (INS, IEA, AIC, ARM, SCLA, CPCU)

Work Experience

• Minimum of two years of claims handling experience or equivalent combination of education and experience
• Knowledge of insurance industry or claims handling preferred, or
• Successful completion of two years as an Associate Claims Specialist preferred.

Qualifications

• Excellent written and oral communication skills
• Strong analytical and problem-solving skills
• Strong organization and time management skills
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
• Ability to work in a team environment
• Strong desire for continuous improvement
• Ability to travel to industry conferences or meetings, if required.

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 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.

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].