Description

This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members. 

• 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

Requirements

Education

• Bachelor’s degree or equivalent work experience
• JD , advanced degree, or focused technical degree a plus
   

Certification

• Must have or be eligible to receive claims adjuster license.
• Successful achievement of industry designations  (INS, IEA, AIC, ARM, SCLA, CPCU) or
• 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