Sr. Claims Examiner, Med Mal
Chicago, IL 
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Posted 37 months ago
Position No Longer Available
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Job Description

Company Information:

What we look for
Our exceptional and motivated employees are our greatest strength. Our employees provide the highest levelof

customer service and help maintain our position as a leader in the global marketplace.


Markel Style
The Markel Style is what makes us stand out from our competitors. It's our core value which should underpin how we do business, while influencing our behavior and performance. We are looking for people who have potential and share our passion to live the Markel Style, which is described in more detail below.


If you think you have these core attributes we want to hear from you.

Job Summary:

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.

Job Description

  • Investigate, negotiate and settle complex medical malpractice, specified medical, and general liability claims.
  • Confirms coverage of claims by reviewing policies and documents submitted in support of claims
  • Analyzes coverage and communicates coverage positions
  • Prepares coverage position letters on matters (without assistance of outside coverage counsel) and refers suspicious losses to SIU and assist in the investigation and settling of claim.
  • 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
  • Negotiates and settles claims typically in litigation within authority.
  • Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial
  • Participates in special projects having an impact on the business. May be assigned project lead for larger projects
  • Represents Markel at mediations, trials, and conferences
  • Pulls and analyses loss information for business stakeholders and presents information during meetings with underwriters and/or insureds
  • Serves as a technical resource to underwriting and assists with drafting policy wording.
  • Assists in training of new hires and provides assistance, guidance, and coaching to others within claims department.
  • Provides input into maintenance of claims guidelines and best practice procedures

    • Education

  • Bachelor's degree or equivalent work experience
  • JD preferred

    • Certification

  • Must have or be eligible to receive claims adjuster license.
  • Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)

    • Work Experience

  • Minimum of 5 years of claims handling experience or equivalent combination of education and experience
  • Successful completion of 3 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
  • Ability to work autonomously in a fast paced environment
  • Experience in negotiation, mediations and monitoring trials
  • Ability to influence claims stakeholders and to effectively direct claims strategy
  • Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses.
  • Ability to deliver outstanding customer service
  • Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
  • Knowledge of tort and contract law
  • Strong desire for continuous improvement

    • Please note: Markel has a phased approach for re-entry into our buildings that is designed to balance the ongoing health, safety, and well-being of our employees with operational considerations and regulatory/ governmental requirements and recommendations. Remote working is still the preferred method of working for most positions at this time. Effective 6/1/21 we will implement a return to work strategy that allows for three days in the office every other week. We will update with further developments.

    "Why work for us?"

    Diversity and inclusion
    Markel is truly a global and diverse company. We believe that diversity makes us better business partners and that embracing people's differences can bring amazing results and fuel innovation. We have a portfolio of businesses and product lines that operate around the world.

    Community involvement
    Markel has a rich heritage of supporting communities across the world where our customers and employees live and work. Giving back is part of our history and our future. Our employees share in this philosophy through volunteering, mentoring and fundraising.

    Commitment to open doors

    Markel is committed to creating the best work environment. Our open-door policy is essential in recognizing business issues as they rise and to address the changing needs of our diverse and global workforce. Challenging management is a component of the Markel Style-some of our best ideas start from a conversation between a manager and an employee.

    Entrepreneurial spirit

    As the Markel Style states, we pursue excellence, strive for a better way, and share the success of others. Markel associates proactively seek new business opportunities, bringing further success to Markel.

     

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    Position No Longer Available
    Job Summary
    Company
    Markel International
    Start Date
    As soon as possible
    Employment Term and Type
    Regular, Full Time
    Required Education
    Bachelor's Degree
    Required Experience
    5+ years
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