Sr. Claims Examiner, Medical Malpractice

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 the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority.

This position will be an acknowledged technical expert and be responsible for the resolution of complex and high exposure Healthcare claims with an emphasis on the excess and reinsurance business, and higher limits primary/stacked limits. The position will have significant responsibility for decision making and work autonomously within their authority.

Job 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, liability, and damages to determine the extent of insured's exposure
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Negotiates and settles claims either directly or indirectly
• Prepares reports by collecting and summarizing information
• Adheres to Fair Claims Practices regulations
• Assist in training and mentoring of specialists, particularly in the excess and reinsurance business
• Serves as technical resource to subordinates and others in the organization
• Review and approve correspondence, reports and authority requests as directed by manager
• Participates in special projects or assists other team members as requested
• Travel to mediations, trials, and conferences as required
• Represents Markel’s claims expertise on external panels and industry forums
• Coordinates loss information for senior business stakeholders and presents during monthly/quarterly business meetings
• Contributes to maintenance of claims guidelines and best practice procedures
• Delivers technical training to colleagues and external contacts as appropriate
• Ensures effective vendor and litigation management on claims with a focus on minimizing indemnity exposure and mitigating vendor and legal expense
• Steps in for manager to assume managerial duties when manager is unavailable or requires assistance

Education

• Bachelor’s Degree required
• Juris Doctor optional

Certification

• Must have or be eligible to receive claims adjuster license.
• Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or
• I-Lead or other Management Training

Work Experience

• 7-10+ years of claims handling experience or equivalent combination of education and experience
• Experience handling high exposure bodily injury healthcare claims

Skill Sets

• Market leading specialist knowledge within healthcare lines
• Expert policy language skills enabling accurate and consistent policy wording interpretation
• Experience in negotiation, mediation and arbitrations
• Experience in conducting technical claims audits and effectively following up on findings
• Ability to manage claims outside of local jurisdiction where appropriate, including understanding of laws and regulations
• Strong senior stakeholder management experience, both internal (underwriting, distribution, actuarial, finance and executive management) and external (brokers, major account clients)
• Ability to influence claims stakeholders and to effectively direct claims strategy
• Ability to lead within a team environment
• Strong presentation skills
• 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

US Work Authorization

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

Pay information:

The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Sr. Claims Examiner is $78,000 - $107,250 with 15% bonus potential.

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.

Are you ready to play your part?

Choose ‘Apply Now’ to fill out our short application, so that we can find out more about you.

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• All legitimate job postings with Markel will be posted on . No other URL should be trusted for job postings.

• All legitimate communications with Markel recruiters will come from Markel.com email addresses.

We would also ask that you please report any job employment scams related to Markel to .

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.