Claims Examiner – Resolution & Negotiation

Markel Corporation; Henderson (NV); Ibrido; USD 59.000 - 122.000; Tempo pieno

Descrizione del lavoro

Markel Corporation in Henderson, NV is seeking a detail‑oriented Claims Examiner to resolve average complexity claims with low to mid exposure. You will investigate, evaluate, negotiate, and settle claims in line with policy provisions and internal standards.

You’ll review coverage, coordinate investigations, set reserves within authority, and strive to return injured workers to work while maintaining excellent service and regulatory compliance.

Competenze

• Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may be substituted.
• 2+ years of claims handling or relevant work experience.
• California Claims Examiner Certification.
• Excellent written and verbal communication skills.
• Strong analytical, problem-solving, organizational, and time management skills.
• Ability to deliver outstanding customer service and work effectively in a team environment.
• Strong understanding of medical terminology preferred.
• Intermediate proficiency in Microsoft Office applications, including Excel, Outlook, and Word.
• Demonstrated commitment to continuous improvement and professional development.
• Ability to analyze complex coverage, liability, and medical management issues and make sound claim decisions.
• Strong negotiation and decision-making skills.

Mansioni

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims
• Analyzes coverage and communicates coverage positions
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Directs and monitors assignments to experts and outside counsel
• Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Focus on driving claims to a resolution with a focus of returning the injured back to work
• Evaluate, Negotiate and settle claim when appropriate
• Prepares reports by collecting and summarizing information
• Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives
• Participates in special projects or assists other team members as requested
• Attend all state specific trainings as scheduled
• Travel to mediations, trials, and conferences as required

Conoscenze

Claims handling

Communication skills

Analytical skills

Negotiation

Time management

Medical terminology

Microsoft Office

Decision making

Formazione

Bachelor's degree in business or related field

Strumenti

Microsoft Excel

Microsoft Outlook

Microsoft Word

Descrizione del lavoro

Markel Corporation in Henderson, NV is seeking a detail‑oriented Claims Examiner to resolve average complexity claims with low to mid exposure. You will investigate, evaluate, negotiate, and settle claims in line with policy provisions and internal standards.

You’ll review coverage, coordinate investigations, set reserves within authority, and strive to return injured workers to work while maintaining excellent service and regulatory compliance.