Manager, Global Medical and Healthcare Claims

Markel; Rosemont (IL); Hybrid; USD 90,000 - 151,000; Full time

Job summary

Markel is seeking a Claims Manager to lead a team handling healthcare claims. This role requires a minimum of 10 years of claims experience and strong analytical skills. The successful candidate will manage team performance, ensure compliance, and foster relationships with stakeholders. Markel offers competitive benefits and a hybrid working schedule.

Benefits

Health, dental, and vision insurance

401(k) with employer match

Employee Stock Purchase Plan

Paid Time Off (PTO)

Parental leave

Qualifications

• Minimum of 10 years of claims handling experience.
• Successful completion of 5 years as a Senior Claims Specialist preferred.
• Must have or be eligible for a claims adjuster license.

Responsibilities

• Manage a team of Senior Claims Examiners and other claims staff.
• Confirm coverage of claims and review policies.
• Ensure compliance with Fair Claims Practices regulations.

Skills

Analytical skills

Problem-solving skills

Customer service

Communication skills

Organization skills

Time management

Education

Bachelor’s degree or equivalent work experience

JD, RN, or other advanced degree

Tools

Microsoft 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 managing a team of Senior Claims Examiners to Claims Examiners I, II, and Associate Claims Examiners, handling a wide variety of low to moderately high exposure bodily injury, primary and excess healthcare/medical malpractice claims. This position will report to the Director of Healthcare Claims and be responsible for conveying the organization’s objectives and priorities to staff and measuring progress towards stated goals.

Responsibilities

• Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
• Direct and monitor assignments of new loss activity for healthcare bodily injury claims.
• Review and approve correspondence and reports including coverage position letters and Large Loss Reports.
• Review and approve reserves and settlements in excess of the authority of the handling specialist.
• Make recommendations concerning reserve changes to the Director or Senior Management.
• Participate in review and discussion of large loss activity in the HPL book with interested stakeholders (Underwriting, Actuarial, Executive Management).
• Ensure that the team adheres to Fair Claims Practices regulations and internal performance objectives.
• Assess and evaluate individual specialist and team performance, provide feedback, and develop training needs.
• Prepare and distribute reports by collecting and summarizing information.
• Assist in the preparation of budgets, evaluation of expenses, and resource needs.
• Foster and encourage strong relationships with internal stakeholders (Underwriting, Actuarial).
• Promote and enhance strong relationships with customers and channel partners.
• Participate in special projects as requested.
• Travel to other claim offices, mediations, trials, and conferences as required.

Education

• Bachelor’s degree or equivalent work experience.
• JD, RN, other advanced degree, or focused technical degree a plus.

Certification

• Must have or be eligible to receive claims adjuster license.
• Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or I-Lead or other Management Training.

Qualifications

• Minimum of 10 years of claims handling experience or an equivalent combination of education and experience.
• Successful completion of 5 years as a Senior Claims Specialist or Executive Claims Specialist a plus.
• Excellent written and oral communication skills.
• Strong analytical and problem-solving skills.
• Strong organization and time management skills.
• Ability to deliver outstanding customer service.
• Intermediate skills in Microsoft Office products (Excel, Outlook, PowerPoint, Word).
• Ability to work in a team environment.
• Strong desire for continuous improvement.
• Markel offers hybrid working schedules of 3 days in the office and 2 days remote.

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 factors such as education, experience, training, licensure, competencies, geographic location, and other factors. The salary range is $90,500 to $150,900 with a 25% bonus potential.

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 worldwide.

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:

We support our employees in living their lives to the fullest at home and at work through competitive benefits, health, dental, vision insurance options, 401(k) with employer match, Employee Stock Purchase Plan, PTO, holidays, and parental leave.

Are you ready to play your part?

Click ‘Apply Now’ to complete our short application and tell us more about you.