Sr. Claims Examiner, Program Claims

Markel; Alpharetta (GA); Hybrid; USD 78,000 - 134,000; Full time

Benefits offered by this job

Hybrid work model

Remote option

Health, dental & vision insurance

401(k) with employer match

Employee Stock Purchase Plan

Paid time off

Job summary

Markel seeks an experienced claims professional to handle program account claims with responsibility for coverage evaluation, liability assessment, and exposure analysis. The role includes mediation or litigation when needed and training responsibilities for teammates.

The position requires a bachelor’s degree or equivalent experience, a valid claims adjuster license, and industry designations or training. Hybrid work with remote options is available, and travel to mediations or trials is

Qualifications

• Bachelor's degree or equivalent work experience.
• Must have or be eligible to receive claims adjuster license.
• Industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or equivalent training.
• Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.).
• Minimum of 5 years of claims handling experience or equivalent combination of education and experience.
• Successful completion of 3 years as a Claims Examiner.
• Strong written and oral communication, analytical and problem-solving skills.
• Proficiency in Microsoft Office products (Excel, Outlook, PowerPoint, Word).

Responsibilities

• Analyzes coverage and communicates coverage positions.
• Conducts, coordinates, and directs investigation into loss facts and extent of damages.
• Confirms coverage by reviewing policies and supporting documents.
• Contributes to maintenance of claims guidelines and best practices.
• Coordinates loss information for stakeholders and presents in meetings with underwriters or insureds.
• Delivers technical training to colleagues and external contacts as appropriate.
• Directs and monitors assignments to experts and outside counsel; manages vendors and litigation.
• Evaluates coverage, liability, and damages to determine insured’s exposure.
• Negotiates and settles claims typically in litigation.
• Prepares coverage position letters typically in litigation.
• Prepares reports by collecting and summarizing information.
• Participates in roundtables to senior claims leaders and underwriters on cases going to trial.
• Provides timely service and meets SLAs throughout the claim lifecycle.
• Sets reserves within authority or makes reserve-change recommendations.
• Travels to mediations, trials, and conferences as required.
• Uses appropriate investigation and settlement techniques for cost-effective closure.

Skills

Written communication

Oral communication

Analytical skills

Problem solving

Time management

Customer service

Education

Bachelor's degree

Tools

Excel

Outlook

PowerPoint

Word

Job description

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it.

The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.Join us and play your part in something special!This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims arising from our Program accounts. This includes evaluation of coverage, assessment of legal liability (where relevant) and exposure analysis, to bring the matters to a timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members.

Responsibilities

• Analyzes coverage and communicates coverage positions

• Conducts, coordinates, and directs investigation into loss facts and extent of damages

• Confirms coverage of claims by reviewing policies and documents submitted in support of claims

• Contributes to maintenance of claims guidelines and best practice procedures

• Coordinates loss information for business stakeholders and presents information during meetings with underwriters and/or insureds when applicable

• Delivers technical training to colleagues and external contacts as appropriate

• Directs and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savings

• Evaluates information on coverage, liability, and damages to determine the extent of insured’s exposure

• Negotiates and settles claims typically in litigation either directly or indirectly

• Participates in special projects or assists other team members as requested

• Prepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.

• Prepares reports by collecting and summarizing information

• Present at roundtables to senior claims leaders and underwriters on cases going to trial

• Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.

• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager

• Travel to mediations, trials, and conferences as required

• Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.

Education

• Bachelor’s degree or equivalent work experience

Certification

• Must have or be eligible to receive claims adjuster license.

• Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or

• Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc..)

Qualifications

• Minimum of 5 years of claims handling experience or equivalent combination of education and experience

• Successful completion of 3 years as a Claims Examiner

• Excellent written and oral communication skills

• Strong analytical and problem solving skills

• Strong organization and time management skills

• Ability to deliver outstanding customer service

• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)

• Ability to work in a team environment

• Strong desire for continuous improvement

• Markel offers hybrid (3 days in the office and 2 days remote ) and fully remote option for this opening. Your location distance will determine the working schedule.

#LI-Hybrid

#LI-SY

US Work Authorization

US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.

Pay information:

The salary range for this position is $78,000 - $134,090. The posted salary range reflects the lowest and highest base salary applicable to this role across our U.S. locations. Individual offers are determined based on geographic location, experience, qualifications, internal equity, and other job-related factors. As a result, the salary offered for a specific location will fall within a narrower range than the overall range displayed in this posting. This position may also be eligible to participate in the Company’s annual incentive plan.

Who we are:

Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

We’re all about people | We win together | We strive for better

We enjoy the everyday | We think further

What’s in it for you:

In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.

• We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees’ needs at all stages of life.

• All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.

• We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.

Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.

No agencies please.