Claims Examiner III

🔥 0 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $82.5k - $171.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Markel

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

💸 Finance

🤝 B2B

Insurance • Finance • B2B

Markel is a global specialty insurance provider offering a wide range of commercial and personal insurance products and risk management solutions. The company provides admitted and non-admitted lines including workers' compensation, errors & omissions, accident medical, general liability, commercial and farm property, equine mortality, excess and surplus lines, commercial pollution liability, surety, and specialty personal lines (marine, powersports, bicycle, event insurance). Markel serves brokers, agents, wholesale and national markets across the US, Bermuda and internationally, and offers online portals for customers and producers to manage policies, payments, and claims.

📋 Description

• Resolve high-complexity and high-exposure Workers Compensation claims in multiple jurisdictions • Confirm claim coverage by reviewing policies and supporting documents • Analyze coverage and communicate coverage positions • Conduct, coordinate, and direct investigations into loss facts and extent of damages • Direct and monitor assignments to experts and outside counsel • Evaluate coverage, compensability, and medical-management information to determine insured exposure • Set reserves within authority or recommend reserve changes to the manager • Drive claims toward resolution, focusing on returning injured parties to work • Evaluate, negotiate, and settle claims when appropriate • Prepare reports by collecting and summarizing information • Adhere to Fair Claims Practices regulations and internal Claims Quality Performance Objectives • Participate in special projects and assist other team members as requested • Attend scheduled state-specific trainings • Travel to mediations, trials, and conferences as required

🎯 Requirements

• Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may be substituted • Insurance designation(s) preferred • Excellent written and verbal communication skills • Strong analytical, problem-solving, organizational, and time management skills • Ability to deliver outstanding customer service and work effectively in a team environment • Strong understanding of medical terminology preferred • Intermediate proficiency in Microsoft Office applications, including Excel, Outlook, PowerPoint, and Word • Demonstrated commitment to continuous improvement and professional development • Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions • Strong negotiation and decision-making skills • US Work Authorization required • Markel does not provide visa sponsorship for this position, now or in the future

🏖️ Benefits

• 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 • Annual incentive plan eligibility