Senior Workers' Comp Claims Examiner

Markel Corporation; Henderson (NV); Hybrid; USD 82,000 - 171,000; Full time

Benefits offered by this job

Hybrid work

401(k) with employer match

Employee Stock Purchase Plan

Paid time off and holidays

Parental leave

Job summary

Markel Group in the United States seeks an experienced Senior Workers' Compensation Claims Examiner to resolve high-complexity claims across jurisdictions. You will assess coverage, manage investigations, and direct settlements under management guidance.

The role emphasizes decision-making within authority, teamwork, and adherence to fair claims practices. Nevada-based hybrid work model with competitive benefits and potential incentive participation.

Qualifications

• Bachelor's degree or equivalent insurance experience preferred.
• California Claims Examiner Certification.
• Excellent written and verbal communication skills.
• Strong analytical, problem-solving, organizational and time management skills.
• Ability to deliver outstanding customer service and work effectively in a team.

Responsibilities

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyzes coverage and communicates coverage positions.
• Conducts, coordinates, and directs investigation into loss facts and extent of damages.
• Directs and monitors assignments to experts and outside counsel.
• Evaluates information on coverage, compensability, and medical management to determine the insured's exposure.
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager.
• Focus on driving claims to a resolution with a focus of returning the injured back to work.
• Evaluate, Negotiate and settle claim when appropriate.
• Prepares reports by collecting and summarizing information.
• Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives.
• Participates in special projects or assists other team members as requested.
• Attend all state specific trainings as scheduled.
• Travel to mediations, trials, and conferences as required.

Skills

Analytical skills

Problem-solving

Organizational skills

Time management

Customer service

Team work

Medical terminology

Negotiation

Decision-making

Education

Bachelor's degree in business-related field

California Claims Examiner Certification

Tools

Microsoft Office

Job description

Markel Group in the United States seeks an experienced Senior Workers' Compensation Claims Examiner to resolve high-complexity claims across jurisdictions. You will assess coverage, manage investigations, and direct settlements under management guidance.

The role emphasizes decision-making within authority, teamwork, and adherence to fair claims practices. Nevada-based hybrid work model with competitive benefits and potential incentive participation.