Claims Examiner: Resolution & Coverage Expert

Markel; Plano (TX); On-site; USD 62,000 - 107,000; Full time

Benefits offered by this job

Health, dental and vision insurance

401(k) with employer match

Paid time off and holidays

Employee Stock Purchase Plan

Job summary

Markel Group is seeking a claims professional to resolve average complexity and low-to-mid exposure claims. You will investigate, evaluate, negotiate, and settle assigned claims under manager guidance, reviewing policy language and documents, and maintaining timely communications with all parties.

Ideal candidates have a Bachelor’s degree or equivalent, a claims license or eligibility, and 2+ years of claims handling. The role emphasizes accuracy, analysis, and customer service within a team.

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).
• 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.

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

Skills

Claims handling

Analytical thinking

Time management

Teamwork

Written & verbal communication

Education

Bachelor’s degree or equivalent work experience

Advanced degree or focused technical degree a plus

Claims adjuster license (must have or be eligible)

Insurance courses or industry designation (INS, IEA, AIC, ARM, SCLA, CPCU)

Tools

Microsoft Office

Job description

Markel Group is seeking a claims professional to resolve average complexity and low-to-mid exposure claims. You will investigate, evaluate, negotiate, and settle assigned claims under manager guidance, reviewing policy language and documents, and maintaining timely communications with all parties.

Ideal candidates have a Bachelor’s degree or equivalent, a claims license or eligibility, and 2+ years of claims handling. The role emphasizes accuracy, analysis, and customer service within a team.