Senior Workers' Comp Claims Examiner (Hybrid)

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

Job summary

Markel Group is seeking a qualified Workers' Compensation Claims Examiner to resolve high-complexity, high-exposure claims across jurisdictions. This role carries increased decision-making authority under supervision and requires collaboration with the manager and team.

You will review coverage, set reserves within authority, negotiate settlements, and support medical management and investigations while traveling to mediations and trials as needed.

Qualifications

• Bachelor's degree in a business-related field or equivalent insurance industry experience.
• California Claims Examiner Certification is preferred.
• Strong written and verbal communication skills are essential.
• Analytical, problem-solving, organizational and time management abilities are required.
• Ability to deliver outstanding customer service and work in a team environment.
• Knowledge of medical terminology is advantageous.
• Proficiency with MS Office applications is required.

Responsibilities

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyzes coverage and communicates coverage positions.
• Conducts investigations 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 insured exposure.
• Sets reserves within authority or makes recommendations to the manager.
• Focuses on resolving claims with return-to-work objectives.
• Negotiates and settles when appropriate.
• Prepares reports by collecting and summarizing information.
• Attends state trainings and travels to mediations, trials, and conferences.

Skills

Claims analysis

Negotiation

Decision making

Communication

Team collaboration

Medical terminology

Time management

Education

Bachelor's degree in business-related field

California Claims Examiner Certification

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Markel Group is seeking a qualified Workers' Compensation Claims Examiner to resolve high-complexity, high-exposure claims across jurisdictions. This role carries increased decision-making authority under supervision and requires collaboration with the manager and team.

You will review coverage, set reserves within authority, negotiate settlements, and support medical management and investigations while traveling to mediations and trials as needed.