Senior Claims Examiner, Construction

Jobtailor; Illinois; On-site; USD 90,000 - 140,000; Full time

Job summary

Markel in Illinois is seeking an experienced claims professional to oversee coverage disputes, liability assessments, and loss analyses. You will manage investigations, coordinate experts and counsel, and present findings to stakeholders.

The role requires strong negotiation, litigation management, and independent work in a fast-paced environment, with opportunities to guide junior staff and contribute to complex claims strategy.

Qualifications

• Bachelor's degree or equivalent work experience.
• JD, advanced degree, or focused technical degree a plus.
• Must have or be eligible to receive claims adjuster license.
• Industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) pursued or completed.
• Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC).
• Minimum of 5 years of claims handling experience or equivalent combination of education and experience.
• Experience as a Claims Examiner (3 years) preferred.
• Excellent written and oral communication skills.
• Strong analytical and problem solving skills.
• Strong organization and time management skills.
• Ability to work autonomously in a fast paced environment.
• Experience in negotiation, mediations and monitoring trials.
• Influence claims stakeholders and direct claims strategy.
• Strong litigation management skills including directing defense attorneys and experts.

Responsibilities

• Handle claims from initial inquiry through liability assessment and damage analysis.
• Ensure timely, accurate resolution and communicate developments to stakeholders.
• Review policies and documents to confirm coverage.
• Coordinate investigations and refer suspicions to SIU as needed.
• Direct investigations into loss facts and damages.
• Manage assignments to experts and outside counsel.
• Evaluate information to determine insured exposure and reserves.
• Lead negotiations and settlements within authority.
• Present case updates to senior claims leaders and at roundtables.
• Participate in special projects and lead larger initiatives.
• Represent the company at mediations, trials, and conferences.
• Analyze loss information for business stakeholders and present findings.
• Provide technical guidance to underwriting and assist with policy wording.

Skills

Claims handling

Negotiation

Litigation management

Communication

Analytical skills

Time management

Autonomy

Stakeholder management

Training & mentoring

Education

Bachelor's degree or equivalent

JD or advanced degree

Claims adjuster license

Industry designations (INS, IEA, AIC, ARM, SCLA, CPCU)

Tools

Microsoft Office (Excel, Outlook, PowerPoint, Word)

Job description

Responsibilities

• Handle claims from coverage enquiry through legal liability assessment and quantum analysis
• Ensure timely and accurate resolution of claims and communicate developments to stakeholders
• Confirm coverage of claims by reviewing policies and submitted documents
• Prepare coverage position letters and refer suspicious losses to SIU
• Conduct, coordinate, and direct investigations into loss facts and extent of damages
• Direct and monitor assignments to experts and outside counsel
• Evaluate information on coverage, liability, and damages to determine insured's exposure
• Set reserves within authority and recommend reserve changes to manager
• Negotiate and settle claims typically in litigation within authority
• Present at roundtables to senior claims leaders on cases going to trial
• Participate in special projects and may lead larger projects
• Represent Markel at mediations, trials, and conferences
• Analyze loss information for business stakeholders and present findings during meetings
• Serve as a technical resource to underwriting and assist with drafting policy wording
• Assist in training new hires and providing guidance to others

Requirements

• Bachelor’s degree or equivalent work experience
• JD, advanced degree, or focused technical degree a plus
• Must have or be eligible to receive claims adjuster license
• Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU)
• Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)
• Minimum of 5 years of claims handling experience or equivalent combination of education and experience
• Successful completion of 3 years as a Claims Examiner
• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Ability to work autonomously in a fast paced environment
• Experience in negotiation, mediations and monitoring trials
• Ability to influence claims stakeholders and to effectively direct claims strategy
• Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses.
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
• Knowledge of tort and contract law
• Strong desire for continuous improvement