Claims Examiner III

Posted 3 Days Ago
Be an Early Applicant
Hiring Remotely in Cranston, RI, USA
In-Office or Remote
83K-171K Annually
Entry level
Insurance
The Role
Resolves high-complexity workers compensation claims across multiple jurisdictions. Responsibilities include confirming coverage, investigating losses, evaluating compensability and medical management, setting reserves, directing experts and counsel, negotiating settlements, preparing reports, complying with claims regulations, and driving injured workers toward return to work. The role requires sound decision-making, negotiation, communication, organization, and analytical skills, with travel to mediations, trials, and conferences as needed.
Summary Generated by Built In

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.

Pay information:

The salary range for this position is $82,500  - $171,450. The posted salary range reflects the lowest and highest base salary applicable to this role across our U.S. locations. Individual offers are determined based on geographic location, experience, qualifications, internal equity, and other job-related factors. As a result, the salary offered for a specific location will fall within a narrower range than the overall range displayed in this posting. This position may also be eligible to participate in the Company's annual incentive plan.

Who we are: 

Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. 

 

We’re all about people | We win together | We strive for better 

 

We enjoy the everyday | We think further 

 

What’s in it for you: 

In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.  

  • We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees’ needs at all stages of life.  

  • All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.  

  • We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.   

 

Are you ready to play your part? 

Choose ‘Apply Now’ to fill out our short application, so that we can find out more about you. 

 

Caution: Employment scams 

Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: 

  • All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.

  • All legitimate communications with Markel recruiters will come from Markel.com email addresses. 

 

We would also ask that you please report any job employment scams related to Markel to [email protected]. 

 

Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.  

 

Should you require any accommodation through the application process, please send an e-mail to the [email protected].    

No agencies please.

Skills Required

  • U.S. work authorization
  • Bachelor's degree in a business-related field, or equivalent insurance industry experience
  • Insurance designation(s)
  • 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
  • Intermediate proficiency in Microsoft Office applications, including Excel, Outlook, PowerPoint, and Word
  • Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions
  • Strong negotiation and decision-making skills
  • Commitment to continuous improvement and professional development

Markel Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Markel and has not been reviewed or approved by Markel.

  • Healthcare Strength Comprehensive coverage includes medical, prescription, dental, vision, and telehealth, complemented by company-sponsored wellness programs and free fitness/mindfulness apps. Feedback suggests expanded mental-health resources and wellness incentives further enhance support.
  • Retirement Support Retirement offerings include 401(k) and other financial protections that can add meaningful long-term value. Feedback suggests strong company matching and retirement contributions are a notable part of the package.
  • Leave & Time Off Breadth A broad suite includes paid time off, corporate holidays, parental leave, hybrid work, volunteer time, and education support. Feedback suggests PTO accrual grows with tenure and can include an option to buy extra days.

Markel Insights

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The Company
HQ: Glen Allen, VA
3,519 Employees
Year Founded: 1930

What We Do

At Markel, we believe in hard work, a zealous pursuit of excellence, and fairness in all our dealings. Markel Corporation (NYSE: MKL) is a global Fortune 500 company headquartered in Richmond, Virginia. We seek to be a leader in each of our pursuits, with insurance being our primary business. As a market leader for specialty insurance, reinsurance, and investment operations around the world, Markel embodies integrity, commitment, teamwork, and innovation in every day operations. We are encouraged to look for a better way to do things. Since our founding in 1930, we have sought to know our customers’ needs and to provide quality products and service. Markel specializes in providing coverage for hard-to-place risks for a variety of niche markets including: • Agricultural and equine risks • Reinsurance for large risk enterprises such as oil rigs • Event cancellation insurance for weddings, concerts, and sporting events • Inland marine coverage for fine art collections • Environmental pollution • Yachts, ATVs, and motorcycles At Markel we provide an atmosphere in which people can reach their personal potential. We are results-oriented, and we continually strive for a better way to do things. The Markel approach is one of spontaneity and flexibility. Markel helps employees balance work and social activities. Markel gives you the keys to success! Keeping an open mind and learning new skills allows our associates to stay ahead of the marketplace. Above all, we enjoy what we are doing. There is excitement here that comes from innovating, creating, striving for a better way, sharing success with others…winning. That is the Markel Style.

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