Senior Claims Specialist, PL Claims

Markel; Virginia (MN); On-site; USD 90,000 - 120,000; Full time

Job summary

Markel seeks a seasoned claims professional to resolve moderate to high complexity claims, from coverage inquiries through liability assessment and quantum analysis. You will mitigate indemnity and expense exposure while keeping stakeholders informed of developments and outcomes.

The role increases responsibility, with authority for reserve decisions within limits and the ability to train teammates as a technical resource; travel to mediations and trials is possible.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 5+ years of claims handling experience
• JD or advanced degree is a plus

Responsibilities

• Confirms coverage of claims by reviewing policies and documents.
• Directs and monitors assignments to experts and outside counsel, ensuring effective vendor and litigation management.
• Analyzes coverage and communicates coverage positions.
• Prepare coverage position letters on matters typically in litigation.
• Utilizes investigation and settlement techniques for timely closure; reviews documentation and policy provisions.
• Conducts, coordinates, and directs investigation into loss facts and damages.
• Provides timely service throughout the life cycle of the claim and responds to inquiries.
• Evaluates information on coverage, liability, and damages to determine insured exposure.
• Sets reserves within authority or makes recommendations to manager.
• Negotiates and settles claims typically in litigation.
• Prepares reports by collecting and summarizing information.
• Presents at roundtables to senior claims leaders and underwriters on cases going to trial.
• Participates in special projects or assists teammates as requested.
• Travels to mediations, trials, and conferences as required.
• Coordinates loss information for stakeholders and presents at meetings with underwriters.

Skills

Communication skills

Analytical skills

Time management

Negotiation

Vendor management

Teamwork

Policy interpretation

Training delivery

Claims strategy

Microsoft Office

Education

Bachelor's degree

JD or advanced degree

Tools

Excel

Word

PowerPoint

Outlook

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 can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to 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 have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members.

Responsibilities

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims
• Directs and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savings
• Analyzes coverage and communicates coverage positions
• Prepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.
• Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Negotiates and settles claims typically in litigation either directly or indirectly
• Prepares reports by collecting and summarizing information
• Present at roundtables to senior claims leaders and underwriters on cases going to trial
• Participates in special projects or assists other team members as requested
• Travel to mediations, trials, and conferences as required
• Coordinates loss information for business stakeholders and presents information during meetings with underwriters and/or insureds when applicable
• Contributes to maintenance of claims guidelines and best practice procedures
• Delivers technical training to colleagues and external contacts as appropriate

Education

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

Work Experience

• Minimum of 5 years of claims handling experience or general insurance experience

Skill Sets

• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims
• Ability to influence claims stakeholders and to effectively direct claims strategy
• Strong vendor management skills are required including the ability to provide direction and guidance to defense attorneys, independent adjusters, building consultants, forensic accountants and other experts while controlling expenses.
• Ability to assist with technical training to team claim handlers as required
• Well developed and advanced expertise and knowledge in most technically complex claims topics
• Policy language skills enabling accurate and consistent policy wording interpretation
• Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
• Ability to deliver outstanding customer service
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
• Ability to work in a team environment
• Strong desire for continuous improvement