Senior Claims Examiner: Complex Coverage & Litigation

Markel; Red Bank (NJ); On-site; USD 64,350 - 107,250; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

AD&D insurance

401(k) with employer match

Paid time off

Job summary

Markel is seeking a Senior Claims Examiner to resolve complex claims with strong analytical skills and independent judgment. The role involves coverage review, liability assessment, and coordinating with experts and counsel to reach timely outcomes.

You will lead negotiations, participate in mediations, and provide guidance to junior staff while upholding claims guidelines and regulatory compliance. A JD or advanced degree is a plus, with at least five years of claims handling experience.

Qualifications

• Bachelor’s degree or equivalent work experience.
• JD, advanced degree, or focused technical degree a plus.
• Must have or be eligible to receive a claims adjuster license.
• Industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or training opportunities.

Responsibilities

• Confirm coverage of claims by reviewing policies and documents.
• Analyze coverage and communicate coverage positions.
• Prepare coverage position letters and refer suspicious losses to SIU.
• Investigate loss facts and extent of damages.
• Direct and monitor assignments to experts and outside counsel.
• Set reserves within authority or make claim recommendations.
• Negotiate and settle claims typically in litigation within authority.
• Present at roundtables to senior claims leaders and underwriters.
• Lead special projects and act as a technical resource for underwriting.

Skills

Analytical thinking

Negotiation

Communication

Problem-solving

Litigation management

Claims investigation

Education

Bachelor’s degree or equivalent

JD or advanced degree

Tools

Microsoft Office

Job description

Markel is seeking a Senior Claims Examiner to resolve complex claims with strong analytical skills and independent judgment. The role involves coverage review, liability assessment, and coordinating with experts and counsel to reach timely outcomes.

You will lead negotiations, participate in mediations, and provide guidance to junior staff while upholding claims guidelines and regulatory compliance. A JD or advanced degree is a plus, with at least five years of claims handling experience.