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MS
Markel Service Inc.
Claims Examiner III
Career Insights for Claims Examiner (General)
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Based on Virginia data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$80,721 / year median in Virginia
+4% projected growth
Job Description
Claims Examiner III Markel Service Inc. - 3.5 Glen Allen, VA Job Details Full-time $82,500 - $171,450 a year 23 hours ago Benefits AD&D insurance Employee stock purchase plan Health insurance Dental insurance Paid time off Parental leave Vision insurance 401(k) matching Qualifications Microsoft Excel Microsoft Outlook Customer service Regulatory compliance in claims processing Claims negotiation Mid-level Workers' compensation insurance knowledge Data summary reports Analysis skills Insurance investigation report preparation Bachelor's degree Personal injury dispute resolution Continuous improvement Decision making Insurance policy review Damages evaluation Bodily injury claims Business Insurance claims reserve management Medical terminology Communication skills Time management Full Job Description 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 Workers Compensation claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under general direction from their manager. Job Responsibilities 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 Qualifications & Skills 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 US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.