Claims Examiner: Resolution & Negotiation Expert

Markel; Red Bank (NJ); On-site; USD 62,000 - 107,000; Full time

Benefits offered by this job

Health insurance

Dental plan

Vision insurance

401(k) with match

Employee Stock Purchase Plan

Paid time off

Corporate holidays and floating days

Job summary

Markel is seeking a Claims Specialist to resolve average-complexity claims and manage low-to-mid exposure matters. The role involves investigating, evaluating, negotiating and resolving cases within authority, with guidance from a manager.

You will work closely with underwriting and other internal teams to ensure accurate reserves and timely communication with stakeholders. The position requires a high school diploma (Bachelor's preferred), an eligible claims license, and strong

Qualifications

• Understanding of insurance claims and legal services landscape a plus.
• Claims technical skills and an understanding for product lines.
• Understanding of insurance policy types across product lines.
• Excellent customer service skills.
• Excellent written and oral communication skills.
• Excellent analytical and problem solving skills.
• Excellent organization and time management skills.
• Ability to deliver outstanding customer service to both internal and external customers.
• Ability to work collaboratively and in a team environment.
• Ability to work autonomously and requiring minimal direction/oversight.
• Ability to take initiative and think strategically and creatively.
• High Strong desire for continuous improvement.
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, and Word)

Responsibilities

• Analyze and determine appropriate direction on coverage, investigation, evaluation and resolution of claims.
• Make recommendations regarding reserve changes to Management.
• Recognize potential exposures on claims and prepare appropriate alerts to Management and internal business partners.
• Adhere to Fair Claims Practices Regulations and claims handling guidelines.
• Prepare and distribute claim reports.
• Participate fully in training, development programs, and learning opportunities across Claims.
• Build strong relationships with internal stakeholders including Underwriting.
• Contribute to strong customer relationships by delivering top-notch service.
• Support special projects as assigned, learning cross-functional collaboration within Claims.
• Mentor with senior examiners and managers to observe negotiation strategies and claim resolution practices.
• Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT.
• Travel to other claim offices and conferences as needed.

Skills

Claims knowledge

Customer service

Analytical skills

Communication skills

Time management

Teamwork

Autonomy

MS Office

Education

High school diploma

Bachelor's degree preferred

Job description

Markel is seeking a Claims Specialist to resolve average-complexity claims and manage low-to-mid exposure matters. The role involves investigating, evaluating, negotiating and resolving cases within authority, with guidance from a manager.

You will work closely with underwriting and other internal teams to ensure accurate reserves and timely communication with stakeholders. The position requires a high school diploma (Bachelor's preferred), an eligible claims license, and strong