Senior Claims Examiner, Construction

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

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 the resolution of moderate to high complexity and moderate to high exposure claims which may be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this role is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to a timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will exercise increased responsibility for decision making within its authority, work with minimal oversight, provide training, and serve as a technical referral point for other team members.

Job Responsibilities

• Confirm coverage of claims by reviewing policies and documents submitted in support of claims
• Analyze coverage and communicate coverage positions
• Prepare coverage position letters on matters (without assistance of outside coverage counsel) and refer suspicious losses to SIU and assist in the investigation and settlement of claims
• Conduct, coordinate, and direct investigation 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 the extent of insured's exposure
• Set reserves within authority or make claim recommendations concerning reserve changes to manager
• Negotiate and settle claims typically in litigation within authority
• Present at roundtables to senior claims leaders and underwriters on cases going to trial and provide advice/insight on other claims going to trial
• Participate in special projects having an impact on the business; may be assigned project lead for larger projects
• Represent Markel at mediations, trials, and conferences
• Pull and analyze loss information for business stakeholders and present information during meetings with underwriters and/or insureds
• Serve as a technical resource to underwriting and assist with drafting policy wording
• Assist in training of new hires and provide assistance, guidance, and coaching to others within the claims department
• Provide input into the maintenance of claims guidelines and best practice procedures

Education

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

Certification

• Must have or be eligible to receive a claims adjuster license
• Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)

Work Experience

• Minimum of 5 years of claims handling experience or equivalent combination of education and experience
• Successful completion of 3 years as a Claims Examiner

Skill Sets

• Excellent written and oral communication skills
• Strong analytical and problem‑solving skills
• Strong organizational 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, including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses
• Ability to deliver outstanding customer service
• Intermediate skills in Microsoft Office products (Excel, Outlook, PowerPoint, Word)
• Knowledge of tort and contract law
• Strong desire for continuous improvement

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 compensable factors such as job‑relevant education, job‑relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary range for the Senior Claims Examiner is $78,000 – $107,250 with 15% incentive.

Benefits

• Competitive benefit programs that support employees’ needs at all stages of life
• Multiple health, dental, and vision insurance plan options and optional life, disability, and AD&DD insurance for full‑time employees
• 401(k) with employer match contributions, Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave

EEO Statement

Markel is an equal‑opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race, color, sex, religion, creed, national origin or place of birth, ancestry, age, disability, sexual orientation, gender expression or identity, genetic information, medical condition, citizenship status, pregnancy, marital status, military or veteran status, appearance, height, weight, political affiliation, or any other classification protected by applicable law.