Claims Examiner - Medical Only Workers Compensation

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-solving. 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! Responsibilities This position will be responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills. Investigate medical only claims as reported and determine injured worker’s eligibility for workers’ compensation benefits Administers medical benefits for valid workers’ compensation claims Manage the progression of the claims process through collaboration with physicians, nurses and other parties as needed Determine if subrogation exists and takes the steps necessary to initiate recovery efforts All file handling must be within state statutes, client claims handling guidelines, and best practices Confirms coverage of claims by reviewing policies and documents submitted in support of claims Conducts, coordinates, and directs investigation into loss facts and extent of damages 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 medical only claims to a resolution/closure 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 Qualifications High school diploma required 1‑5 years of claims handling or comparable experience required. Ideal candidates will possess experience within the insurance, healthcare, or workers’ compensation industries Intermediate Software skills – Microsoft Word, Excel and Outlook US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Benefits 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&A&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. Equal‑Opportunity Employer Statement 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. As a reminder, we do not accept agents or agencies. #J-18808-Ljbffr Markel