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Senior Claims Examiner, Medical & Healthcare Claims

Markel

* Bachelor’s degree or equivalent work experience* JD , advanced degree, or focused technical degree a plus* Minimum of 7-15 years of claims handling experience or equivalent combination of education and experience in insurance* Successful completion of 5 years as a Claims Examiner* Excellent written and oral communication skills* Strong analytical and problem solving skills* Strong organization and time management skills* Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims* Ability to influence claims stakeholders and to effectively direct claims strategy* Strong vendor management skills are required including the ability to provide direction and guidance to defense attorneys, independent adjusters, building consultants, forensic accountants and other experts while controlling expenses.* Ability to assist with technical training to team claim handlers as required* Well developed and advanced expertise and knowledge in most technically complex claims topics* Policy language skills enabling accurate and consistent policy wording interpretation* Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.* 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 improvementThe base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The salary for the position is $73,600 - $107,250 with a 15% bonus potential.**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.Choose **‘Apply Now’** to fill out our short application, so that we can find out more about you.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: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. #J-18808-Ljbffr

Vacancy posted 4 days ago
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