Claims Examiner

Markel; Richmond (VA); On-site; USD 51,000 - 86,000; Full time

Benefits offered by this job

Health insurance

401(k) with employer match

Employee Stock Purchase Plan

PTO and holidays

Job summary

Markel is seeking a Claims Examiner to resolve average complexity and low-to-mid exposure claims. You will investigate, evaluate, negotiate, and settle claims within authority, reviewing policies and supporting documents to determine coverage and liability.

The role emphasizes timely, customer-focused service, with mandatory licensure and ongoing professional designation, and offers a competitive salary and benefits.

Qualifications

• 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).

Responsibilities

• Typically handles low to moderate low exposure claims.
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
• Drafts coverage position letters independently
• Utilizes investigation and settlement techniques to achieve cost-effective closure.
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Evaluates information on coverage, liability, and damages to determine insured exposure
• Sets reserves within authority or recommends reserve changes to manager
• Uses diary system to resolve outstanding issues and ensure timely closure of the claim
• Negotiates and settles claims with claimants
• Prepares reports by collecting and summarizing information
• Participates in special projects or assists team members
• Provides timely service throughout the life cycle of the claim and responds to inquiries
• Identifies subrogation opportunities and fraud potential and makes referrals
• Strong emphasis on customer service to internal and external customers

Skills

Communication

Analytical thinking

Time management

Teamwork

MS Office

Travel

Education

Bachelor’s degree or equivalent

Advanced degree a plus

Claims adjuster license

Industry designation (INS, IEA, AIC, ARM, SCLA, CPCU)

Tools

MS Office

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.

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 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 position is $62,000 - $85,800 with 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.