Senior 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 responsible for the investigation and resolution of higher complexity and higher exposure claims consisting of medical malpractice or other healthcare or allied healthcare professional liability. These claims will consist of primarily litigated matters. Under minimal supervision, this position will be able to manage a full claim workload with minimal assistance and be responsible for making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations as applicable in various states. Some travel required.

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
• Drafts coverage position letters
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Handles litigated bodily injury claims with values up to $750,000 in all jurisdictions, assigning counsel as needed.
• Identify losses which should be reported to SIU.
• Monitors potential exposures in excess or reinsurance business, including occasional audits and related reporting.
• Participates in special projects or assists other team members as requested, including training and mentoring lower level examiners.
• Provides excellent and professional customer service to insureds while maintaining a high level of production.
• Represents Markel in mediations and trials, as required.
• Sets reserves within authority or makes recommendations concerning reserve changes to manager.
• Collaborates with Underwriting and other internal stakeholders.

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/Skill Set

• Minimum of 7-15 years of claims handling experience or equivalent combination of education and experience in insurance
• Successful completion of 5 years as a Claims Examiner
• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims
• Ability to influence claims stakeholders and to effectively direct claims strategy
• Strong vendor management skills are required including the ability to provide direction and guidance to defense attorneys, independent adjusters, building consultants, forensic accountants and other experts while controlling expenses.
• Ability to assist with technical training to team claim handlers as required
• Well developed and advanced expertise and knowledge in most technically complex claims topics
• Policy language skills enabling accurate and consistent policy wording interpretation
• Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
• 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 working schedules of 3 days in the office and 2 days remote.    

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 $83,6