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 responsible for the resolution of high complexity and high exposure claims. The position will have increased responsibility for decision making within their authority and work with minimal oversight.

Responsibilities

• Handles higher value medical malpractice and allied health claims in all jurisdictions, usually up to $750,000 in value. Handles mostly primary claims with some excess and reinsurance claims.
• Analyzes coverage and communicates coverage positions and re-analyzes over the lifecycle of the claim, including drafting reservations and disclaimers of coverage.
• 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, as well as investigating supporting facts
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Identify losses which should be reported to SIU.
• Participates in special projects or assists other team members as requested
• Provides excellent and professional customer service to insureds while maintaining a high level of production. Maintains excellent relationships and communication with internal business partners.
• Represents Markel in mediations and monitors trials, as required
• Sets reserves within authority or makes recommendations concerning reserve changes to manager. Prepares loss reporting for internal business partners.

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 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

Skill Sets

• 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

US Work Authorization

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