Claims Examiner II – Medical Malpractice

Claims Examiner II – Medical Malpractice

Requirements

• Bachelor’s degree or equivalent work experience
• Must have or be eligible to receive claims adjuster license
• Successful completion of basic insurance courses or achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU)
• Minimum of 2-3 years of claims handling experience or equivalent combination of education and experience
• Knowledge of insurance industry or claims handling preferred
• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Ability to deliver outstanding customer service
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
• Ability to work in a team environment
• Strong desire for continuous improvement

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, liability, and damages to determine the extent of insured’s exposure
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Prepares reports by collecting and summarizing information
• Adheres to Fair Claims Practices regulations
• Participates in special projects or assists other team members as requested
• Drafts coverage position letters
• Handles claims in all jurisdictions
• Identify losses which should be reported to SIU
• Provides excellent and professional customer service to insureds while maintaining a high level of production
• Represents Markel in mediations, as required

Preferred Qualifications

• Knowledge of insurance industry or claims handling preferred