Senior Workers' Comp Claims Examiner | Hybrid

Markel Corporation; Henderson (NV); Hybrid; USD 82.000 - 171.000; Vollzeit

Benefits dieser Stelle

401(k) with employer match

Employee Stock Purchase Plan

PTO and holidays

Zusammenfassung

Markel Corporation invites applications for a Claims Examiner III in Henderson, NV. This role resolves high complexity workers' compensation claims across jurisdictions, with authority-based decisions and collaboration with experts and outside counsel.

Key tasks include reviewing policies for coverage, conducting investigations, setting reserves, and negotiating settlements when appropriate. Strong communication, negotiation, and medical terminology understanding are essential, with travel to

Qualifikationen

• Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may be substituted.
• 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 environment.
• Strong understanding of medical terminology preferred.
• Intermediate proficiency in Excel, Outlook, and Word.
• Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions.
• Strong negotiation and decision-making skills.

Aufgaben

• 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.

Kenntnisse

Communication skills

Analytical ability

Problem solving

Teamwork

MS Office

Ausbildung

California Claims Examiner Certification

Bachelor's degree (business preferred)

Tools

Excel

Outlook

Word

Jobbeschreibung

Markel Corporation invites applications for a Claims Examiner III in Henderson, NV. This role resolves high complexity workers' compensation claims across jurisdictions, with authority-based decisions and collaboration with experts and outside counsel.

Key tasks include reviewing policies for coverage, conducting investigations, setting reserves, and negotiating settlements when appropriate. Strong communication, negotiation, and medical terminology understanding are essential, with travel to