Claims Examiner I

Markel · United States

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 claims of average complexity and low to mid exposure claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The position will have responsibility for decision making within their authority and work under the general direction from their manager. Responsibilities:

• Investigate, negotiate and settle primary and excess policy healthcare claims.
• Investigate and analyze coverage under primary and excess healthcare professional liability insurance policies; make coverage determinations; draft coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders.
• Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
• Communicate with underwriting as needed to manage claims and to alert of any significant developments.
• Promptly communicate with Claims Manager on adverse case developments and provide information on pertinent issues affecting the healthcare professional liability product line.
• Proven ability to work in a collaborative team environment. Analyze and convey summations of claim issues; recognize alternative approaches and develop action plans, both orally and in written form.
• Maintain and adhere to Markel’s guidelines and procedures.
• Ensure proper adherence to internal reporting requirements.
• Contribute and assist in the implementation of a wide range of initiatives, discussion and action plans brought forth by the Claims Manager.
• Participate in agent related functions and meetings as required.

• College degree, professional designation and/or related job experience required.
• Excellent written and oral communication skills.
• Ability to analyze and convey summations of complex issues both verbally and in writing; recognize alternative approaches and develop action plans
• Experience in determining contractual obligations, insurance coverage analyses, and investigations.
• Ability to manage litigation, set loss and expense reserves and evaluate settlement values.
• Work collaboratively and as a team player willing to assist within the Unit and Professional Liability Division as needed.
• Ability to proactively self-manage a high volume caseload.
• Travel required as necessary (approximately 10%).

• 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.

• All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
• All legitimate communications with Markel recruiters will come from Markel.com email addresses.