Senior Workers' Compensation Claims Examiner

Markel Corporation; Henderson (NV); On-site; USD 83,000 - 171,000; Full time

Benefits offered by this job

401(k) with employer match

Employee Stock Purchase Plan

PTO and holidays

Parental leave

Job summary

Markel Corporation in Henderson, NV seeks an experienced claims professional to resolve high-complexity Workers' Compensation claims across jurisdictions. You will analyze coverage, manage investigations, set reserves, and coordinate experts, with travel to mediations or trials as needed.

The role requires a Bachelor's degree (or equivalent insurance experience), a California Claims Examiner Certification, and strong negotiation, communication, and MS Office skills.

Qualifications

• 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.

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

Communication

Analytical skills

Problem solving

Time management

Team player

Negotiation

Decision making

Customer service

Medical terminology

Education

Bachelor's degree in business

California Claims Examiner Certification

Tools

Microsoft Office

Excel

Outlook

Word

Job description

Markel Corporation in Henderson, NV seeks an experienced claims professional to resolve high-complexity Workers' Compensation claims across jurisdictions. You will analyze coverage, manage investigations, set reserves, and coordinate experts, with travel to mediations or trials as needed.

The role requires a Bachelor's degree (or equivalent insurance experience), a California Claims Examiner Certification, and strong negotiation, communication, and MS Office skills.