Senior Claims Examiner, Medical and Healthcare Claims

Markel

Senior Claims Examiner managing moderate to high complexity Medical and Healthcare claims. Liaising with stakeholders for resolution while providing training and technical support.

Posted 5/13/2026full-timeRed Bank • Arizona, Illinois, Massachusetts, New Jersey • 🇺🇸 United StatesSenior💰 $73,600 - $107,250 per yearWebsite

About the role

Key responsibilities & impact

Handles healthcare malpractice/negligence claims including analyzing coverage and communicating 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 claims in all jurisdictions
Handles litigated and non-litigated bodily injury claims with values up to $450,000 in all jurisdictions
Represents Markel in mediations
Monitors trial, as required
Sets reserves within authority or makes recommendations concerning reserve changes to manager

Requirements

What you’ll need

Bachelor’s degree or equivalent work experience
JD, advanced degree, or focused technical degree a plus
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.)
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

Benefits

Comp & perks

Health insurance
Dental insurance
Vision insurance
Life insurance
Disability insurance
401(k) with employer match
Employee Stock Purchase Plan
Paid Time Off (PTO)
Corporate holidays
Floating holidays
Parental leave

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims handlingcoverage analysisinvestigation coordinationdrafting coverage lettersliability evaluationclaims adjustmentreserve settinglitigated claims managementnon-litigated claims managementdamages assessment

Soft Skills

communicationnegotiationanalytical thinkingproblem-solvingattention to detailorganizational skillsinterpersonal skillsdecision makingtime managementleadership

Certifications

claims adjuster licenseINSIEAAICARMSCLACPCUCLM Claim CollegeMunich Re TrainingFDCC