Senior Workers' Comp Claims Examiner – Resolution Expert

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

Benefits offered by this job

Health, dental and vision insurance

401(k) with employer match

PTO and corporate holidays

Employee Stock Purchase Plan

Job summary

Markel Corporation in Henderson, NV is seeking a skilled Workers' Compensation claims examiner to resolve high complexity, high exposure claims across multiple jurisdictions. You will operate with increased decision-making authority under supervision and work within the claims team to manage coverage, liability, and medical management issues.

The role emphasizes returning injured employees to work, evaluating settlements, and coordinating investigations with experts and outside counsel.

Qualifications

• Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may be substituted.
• 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 Microsoft Office applications, including Excel, Outlook, and Word.
• Demonstrated commitment to continuous improvement and professional development.
• Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions.
• Strong negotiation and decision-making skills.
• US Work Authorization required.
• Markel does not provide visa sponsorship for this position.

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 extent of 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.

Job description

Markel Corporation in Henderson, NV is seeking a skilled Workers' Compensation claims examiner to resolve high complexity, high exposure claims across multiple jurisdictions. You will operate with increased decision-making authority under supervision and work within the claims team to manage coverage, liability, and medical management issues.

The role emphasizes returning injured employees to work, evaluating settlements, and coordinating investigations with experts and outside counsel.