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Claims Examiner III, Workers Compensation
MarkelClaims Examiner III responsible for resolving high complexity Workers Compensation claims for Markel Group. Confirming coverage, analyzing claims, and driving resolutions across jurisdictions.
About the role
Key responsibilities & impact- Responsible for the resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions
- 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, compensability, and medical management to determine the extent of insured's exposure
- Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
- Focus on driving claims to a resolution with a focus of returning the injured back to work
- Evaluate, Negotiate and settle claim when appropriate
- Prepares reports by collecting and summarizing information
- Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives
- Participates in special projects or assists other team members as requested
- Attend all state specific trainings as scheduled
- Travel to mediations, trials, and conferences as required
Requirements
What you’ll need- A degree in business related courses optional in exchange for experience in insurance
- An insurance designation is a plus
- Excellent written and oral communication skills
- Strong analytical and problem solving skills
- Strong organization and time management skills
- Ability to deliver outstanding customer service
- Strong knowledge and understanding of medical terminology is a plus
- 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 required
Benefits
Comp & perks- competitive benefit programs that help meet our diverse and changing environment
- multiple health, dental and vision insurance plan options
- optional life, disability, and AD&D insurance
- 401(k) with employer match contributions
- Employee Stock Purchase Plan
- PTO
- corporate holidays and floating holidays
- parental leave
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Workers Compensation claimscoverage analysisclaims negotiationclaims settlementmedical managementreserve settingclaims investigationreport preparationinsurance designationmedical terminology
Soft Skills
written communicationoral communicationanalytical skillsproblem solvingorganizationtime managementcustomer serviceteamworkcontinuous improvement