Claims Examiner II, 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 lower to medium complexity and lower to medium exposure medical malpractice or healthcare claims. These claims will consist of non-litigated and litigated matters. Under general 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. Minimal travel required.

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
• Prepares reports by collecting and summarizing information
• Adheres to Fair Claims Practices regulations
• Participates in special projects or assists other team members as requested
• Drafts coverage position letters
• Handles claims in all jurisdictions
• Identify losses which should be reported to SIU.
• Provides excellent and professional customer service to insureds while maintaining a high level of production.
• Represents Markel in mediations, as required

Education

• Bachelor’s degree or equivalent work experience

Certification

• Must have or be eligible to receive claims adjuster license.
• Successful completion of basic insurance courses or achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU)

Work Experience

• Minimum of 2-3 years of claims handling experience or equivalent combination of education and experience
• Knowledge of insurance industry or claims handling preferred

 

Skill Sets

• 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

#LI-Hybrid

#deib 

#piq

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 salary for the position is $60,300 to $100,500 with a 12% 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 t