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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 from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to 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.
Job Responsibilities
Confirms coverage of claims by reviewing policies and documents submitted in support of claims
Analyzes coverage and communicates coverage positions
Prepares coverage position letters on matters (without assistance of outside coverage counsel) and refers suspicious losses to SIU and assist in the investigation and settling of claim.
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 typically in litigation within authority.
Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial
Participates in special projects having an impact on the business. May be assigned project lead for larger projects
Represents Markel at mediations, trials, and conferences
Pulls and analyses loss information for business stakeholders and presents information during meetings with underwriters and/or insureds
Serves as a technical resource to underwriting and assists with drafting policy wording.
Assists in training of new hires and provides assistance, guidance, and coaching to others within claims department.
Provides input into maintenance of claims guidelines and best practice procedures
Education
Bachelor's degree or equivalent work experience
JD , advanced degree, or focused technical degree a plus
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.)
Work Experience
Minimum of 5 years of claims handling experience or equivalent combination of education and experience
Successful completion of 3 years as a Claims Examiner
Skill Sets
Excellent written and oral communication skills
Strong analytical and problem solving skills
Strong organization and time management skills
Ability to work autonomously in a fast paced environment
Experience in negotiation, mediations and monitoring trials
Ability to influence claims stakeholders and to effectively direct claims strategy
Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses.
Ability to deliver outstanding customer service
Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
Knowledge of tort and contract law
Strong desire for continuous improvement
#LI-SY
#LI-Hybrid
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 range for the Senior Claims Examiner is $78,000 - $107,250 with 15% bonus incentive.
Markelcorp · Red Bank, NJ